Provider Demographics
NPI:1114175387
Name:TOTAL QUALITY RESIDENTIAL SERVICES, INC.
Entity Type:Organization
Organization Name:TOTAL QUALITY RESIDENTIAL SERVICES, INC.
Other - Org Name:TOTAL QUALITY RESIDENTIAL SERVICES, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF ADMINISTRATIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:LAMONT
Authorized Official - Last Name:PURNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-802-3815
Mailing Address - Street 1:4121 SIHLER OAKS TRL
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5004
Mailing Address - Country:US
Mailing Address - Phone:410-802-3815
Mailing Address - Fax:443-703-2331
Practice Address - Street 1:225 S WHITING ST APT 124
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-7117
Practice Address - Country:US
Practice Address - Phone:410-802-3815
Practice Address - Fax:443-703-2331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-30
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1223-14-001251C00000X, 322D00000X, 323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children