Provider Demographics
NPI:1033348917
Name:ROCHESTER QUALITY HOME CARE
Entity Type:Organization
Organization Name:ROCHESTER QUALITY HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAHRA
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:FARAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-319-1766
Mailing Address - Street 1:1903 S BROADWAY LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55904-7924
Mailing Address - Country:US
Mailing Address - Phone:507-319-1766
Mailing Address - Fax:
Practice Address - Street 1:1903 S BROADWAY LOWR LEVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55904-7924
Practice Address - Country:US
Practice Address - Phone:507-319-1766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-13
Last Update Date:2009-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN344419251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health