Provider Demographics
NPI:1215015615
Name:QUALITY RESPIRATORY CARE INC
Entity Type:Organization
Organization Name:QUALITY RESPIRATORY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NELSON
Authorized Official - Middle Name:
Authorized Official - Last Name:AINSWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-572-1000
Mailing Address - Street 1:1239 W HIGHWAY 49
Mailing Address - Street 2:
Mailing Address - City:WEST HELENA
Mailing Address - State:AR
Mailing Address - Zip Code:72390-1716
Mailing Address - Country:US
Mailing Address - Phone:870-572-1000
Mailing Address - Fax:870-572-1026
Practice Address - Street 1:1239 W HIGHWAY 49
Practice Address - Street 2:
Practice Address - City:WEST HELENA
Practice Address - State:AR
Practice Address - Zip Code:72390-1716
Practice Address - Country:US
Practice Address - Phone:870-572-1000
Practice Address - Fax:870-572-1026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARMG00103332B00000X
MS05764332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR103728716Medicaid
AR49267OtherAR BCBS PROVIDER ID
AR103728716Medicaid
AR103728716Medicaid