Provider Demographics
NPI:1104197185
Name:LONG QUALITY CARE, LLC
Entity Type:Organization
Organization Name:LONG QUALITY CARE, LLC
Other - Org Name:BRIGHTSTAR OF THE LEHIGH VALLEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMOLLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-814-7300
Mailing Address - Street 1:118 E BROAD ST
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-6204
Mailing Address - Country:US
Mailing Address - Phone:610-814-7300
Mailing Address - Fax:610-419-2043
Practice Address - Street 1:118 E BROAD ST
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-6204
Practice Address - Country:US
Practice Address - Phone:610-814-7300
Practice Address - Fax:610-419-2043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-23
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102713724Medicaid