Provider Demographics
NPI:1326369422
Name:QUALITY CAREAASSISTANT LIVING
Entity Type:Organization
Organization Name:QUALITY CAREAASSISTANT LIVING
Other - Org Name:QUALITY CARE ASSISTANT LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-971-0569
Mailing Address - Street 1:5519 RICKY ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77033-3313
Mailing Address - Country:US
Mailing Address - Phone:832-971-0569
Mailing Address - Fax:
Practice Address - Street 1:5967 BELARBOR ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77033-1325
Practice Address - Country:US
Practice Address - Phone:832-971-0569
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-13
Last Update Date:2010-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home