Provider Demographics
NPI:1093177792
Name:QUALITY CARE PROVIDERS LLC
Entity Type:Organization
Organization Name:QUALITY CARE PROVIDERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDGAR
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-242-8388
Mailing Address - Street 1:1018 MAIN ST
Mailing Address - Street 2:SIUTE 1
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01603-2427
Mailing Address - Country:US
Mailing Address - Phone:774-242-8388
Mailing Address - Fax:
Practice Address - Street 1:1018 MAIN ST
Practice Address - Street 2:SIUTE 1
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01603-2427
Practice Address - Country:US
Practice Address - Phone:774-242-8388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health