Provider Demographics
NPI:1043209877
Name:QUALITY ASSURED SERVICES INC.
Entity Type:Organization
Organization Name:QUALITY ASSURED SERVICES INC.
Other - Org Name:ACELIS CONNECTED HEALTH SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER VAD
Authorized Official - Prefix:MR
Authorized Official - First Name:THEODORE
Authorized Official - Middle Name:LLOYD
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-563-2857
Mailing Address - Street 1:30 S KELLER RD SUITE 100 B
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32810-6103
Mailing Address - Country:US
Mailing Address - Phone:407-563-2860
Mailing Address - Fax:407-563-2858
Practice Address - Street 1:30 S KELLER RD SUITE 100 B
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32810-6103
Practice Address - Country:US
Practice Address - Phone:407-563-2860
Practice Address - Fax:407-563-2858
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:QUALITY ASSURED SERVICES INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-10-14
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1102332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000223727Medicaid
FL028299500Medicaid
FLU0263Medicare PIN
FL000223727Medicaid