Provider Demographics
NPI:1306027206
Name:QUALCARE HOME HEALTH SERVICES INC.
Entity Type:Organization
Organization Name:QUALCARE HOME HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EDNA
Authorized Official - Middle Name:C
Authorized Official - Last Name:BAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-640-2361
Mailing Address - Street 1:4456 VANDEVER AVE
Mailing Address - Street 2:STE. # 6
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92120-3325
Mailing Address - Country:US
Mailing Address - Phone:619-640-2361
Mailing Address - Fax:619-640-2371
Practice Address - Street 1:4456 VANDEVER AVE
Practice Address - Street 2:STE. # 6
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92120-3325
Practice Address - Country:US
Practice Address - Phone:619-640-2361
Practice Address - Fax:619-640-2371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-19
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health