Provider Demographics
NPI:1063631737
Name:QUALITY SERVICES BEYOND COMPLIANCE INC
Entity Type:Organization
Organization Name:QUALITY SERVICES BEYOND COMPLIANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GERSHON
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-949-3140
Mailing Address - Street 1:1 CROSS ISLAND PLZ
Mailing Address - Street 2:RM# LL 7A
Mailing Address - City:ROSEDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11422-1484
Mailing Address - Country:US
Mailing Address - Phone:718-949-3140
Mailing Address - Fax:718-949-3695
Practice Address - Street 1:1 CROSS ISLAND PLZ
Practice Address - Street 2:RM# LL 7A
Practice Address - City:ROSEDALE
Practice Address - State:NY
Practice Address - Zip Code:11422-1484
Practice Address - Country:US
Practice Address - Phone:718-949-3140
Practice Address - Fax:718-949-3695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2008-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01933100Medicaid
NY02061865Medicaid