Provider Demographics
NPI:1225673478
Name:QUALITY CHOICE HOMECARE SERVICES
Entity Type:Organization
Organization Name:QUALITY CHOICE HOMECARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KWAKU
Authorized Official - Middle Name:
Authorized Official - Last Name:AWUAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-372-4122
Mailing Address - Street 1:61 ARROW RD STE 105R
Mailing Address - Street 2:
Mailing Address - City:WETHERSFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06109-1357
Mailing Address - Country:US
Mailing Address - Phone:860-372-4122
Mailing Address - Fax:860-218-9890
Practice Address - Street 1:61 ARROW RD STE 105R
Practice Address - Street 2:
Practice Address - City:WETHERSFIELD
Practice Address - State:CT
Practice Address - Zip Code:06109-1357
Practice Address - Country:US
Practice Address - Phone:860-372-4122
Practice Address - Fax:860-218-9890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-12
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTHCA0001557OtherHOMEMAKER COMPANION AGENCY CERTIFICATE