Provider Demographics
NPI:1225649460
Name:QUALITY CARE HOME HEALTHCARE COMPANY LLC
Entity Type:Organization
Organization Name:QUALITY CARE HOME HEALTHCARE COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NKWENTI
Authorized Official - Middle Name:
Authorized Official - Last Name:NDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-219-7115
Mailing Address - Street 1:124 WINDSONG ACRES RD
Mailing Address - Street 2:
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32086-5787
Mailing Address - Country:US
Mailing Address - Phone:904-679-3632
Mailing Address - Fax:904-460-2802
Practice Address - Street 1:150 SOUTHPARK BLVD STE ABANDE
Practice Address - Street 2:
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32086-5190
Practice Address - Country:US
Practice Address - Phone:904-679-3632
Practice Address - Fax:904-460-2802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-12
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health