Provider Demographics
NPI:1245225101
Name:QUALITY HOME CARE PROFESSIONALS, INC.
Entity Type:Organization
Organization Name:QUALITY HOME CARE PROFESSIONALS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:JO
Authorized Official - Last Name:NOFTSGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-828-7889
Mailing Address - Street 1:101 E MARION ST
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:50138-2532
Mailing Address - Country:US
Mailing Address - Phone:641-828-7889
Mailing Address - Fax:641-828-6119
Practice Address - Street 1:101 E MARION ST
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:IA
Practice Address - Zip Code:50138-2532
Practice Address - Country:US
Practice Address - Phone:641-828-7889
Practice Address - Fax:641-828-6119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-16
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0672568Medicaid
IA0672568Medicaid