Provider Demographics
NPI:1073662771
Name:NATIONAL QUALITY AND REVIEW CORPORATION
Entity Type:Organization
Organization Name:NATIONAL QUALITY AND REVIEW CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:ISAMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1877-459-6173
Mailing Address - Street 1:5305 KENILWORTH AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737
Mailing Address - Country:US
Mailing Address - Phone:187-745-9617
Mailing Address - Fax:301-699-9226
Practice Address - Street 1:8800 PHILADELPHIA RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-4311
Practice Address - Country:US
Practice Address - Phone:410-574-2700
Practice Address - Fax:410-574-2462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR1079251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health