Provider Demographics
NPI:1336662386
Name:A QUALITY HOMECARE INC
Entity Type:Organization
Organization Name:A QUALITY HOMECARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FLOYD
Authorized Official - Middle Name:
Authorized Official - Last Name:DERIZZIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-513-2908
Mailing Address - Street 1:98 S FULTON AVE APT 206
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10550-5164
Mailing Address - Country:US
Mailing Address - Phone:917-513-2908
Mailing Address - Fax:
Practice Address - Street 1:855 E 233RD ST APT 9H
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-3217
Practice Address - Country:US
Practice Address - Phone:917-513-2908
Practice Address - Fax:917-513-2908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-21
Last Update Date:2017-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health