Provider Demographics
NPI:1164615290
Name:QUALITY REHABILITATION SERVICES, LLC
Entity Type:Organization
Organization Name:QUALITY REHABILITATION SERVICES, LLC
Other - Org Name:DIVINITY HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TATJANA
Authorized Official - Middle Name:TINA
Authorized Official - Last Name:SAVICH
Authorized Official - Suffix:
Authorized Official - Credentials:MSA, OTR
Authorized Official - Phone:586-978-2359
Mailing Address - Street 1:42536 HAYES RD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-6766
Mailing Address - Country:US
Mailing Address - Phone:586-978-2359
Mailing Address - Fax:586-978-2359
Practice Address - Street 1:42536 HAYES ROAD
Practice Address - Street 2:SUITE 600
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48038-3644
Practice Address - Country:US
Practice Address - Phone:586-978-2359
Practice Address - Fax:586-978-2359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
163WH0200X
MID2244G302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty