Provider Demographics
NPI:1225106776
Name:QUALITY HEALTHCARE GROUP INC.
Entity Type:Organization
Organization Name:QUALITY HEALTHCARE GROUP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING/ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AUGUSTINA
Authorized Official - Middle Name:NWADIAFOR
Authorized Official - Last Name:EKHATOR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:267-949-6789
Mailing Address - Street 1:100 E GLENOLDEN AVE STE B21
Mailing Address - Street 2:
Mailing Address - City:GLENOLDEN
Mailing Address - State:PA
Mailing Address - Zip Code:19036-2208
Mailing Address - Country:US
Mailing Address - Phone:267-949-6789
Mailing Address - Fax:215-310-4956
Practice Address - Street 1:100 E GLENOLDEN AVE STE B21
Practice Address - Street 2:
Practice Address - City:GLENOLDEN
Practice Address - State:PA
Practice Address - Zip Code:19036-2208
Practice Address - Country:US
Practice Address - Phone:215-882-4949
Practice Address - Fax:215-310-4956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA77750501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA397775Medicare ID - Type Unspecified