Provider Demographics
NPI:1285688556
Name:HIGH QUALITY CARE NURSING, INC
Entity Type:Organization
Organization Name:HIGH QUALITY CARE NURSING, INC
Other - Org Name:HIGH QUALITY CARE NURSING LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:JOY
Authorized Official - Middle Name:E
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-617-9315
Mailing Address - Street 1:217 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-4357
Mailing Address - Country:US
Mailing Address - Phone:301-617-9315
Mailing Address - Fax:301-617-9319
Practice Address - Street 1:217 MAIN ST
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4357
Practice Address - Country:US
Practice Address - Phone:301-617-9315
Practice Address - Fax:301-617-9319
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HIGH QUALITY CARE NURSING INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-20
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2177251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD541556000Medicaid
MD406414300Medicaid
MD479800700Medicaid