Provider Demographics
NPI:1174652580
Name:QUALITY HEALTH, INC.
Entity Type:Organization
Organization Name:QUALITY HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SANGYONG
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:303-341-2277
Mailing Address - Street 1:14001 E ILIFF AVE STE 215
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-1426
Mailing Address - Country:US
Mailing Address - Phone:303-341-2277
Mailing Address - Fax:303-341-7722
Practice Address - Street 1:14001 E ILIFF AVE STE 215
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1426
Practice Address - Country:US
Practice Address - Phone:303-341-2277
Practice Address - Fax:303-341-7722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7950225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO67782566Medicaid
COC803672Medicare PIN