Provider Demographics
NPI:1376085589
Name:QUALITY CARE HEALTH SERVICES,LLC
Entity Type:Organization
Organization Name:QUALITY CARE HEALTH SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CASHUNDA
Authorized Official - Middle Name:SHANIEL
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-532-6998
Mailing Address - Street 1:809 PROFESSIONAL PL W STE A103
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-3632
Mailing Address - Country:US
Mailing Address - Phone:757-401-9871
Mailing Address - Fax:757-410-4210
Practice Address - Street 1:809 PROFESSIONAL PL W STE A103
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-3632
Practice Address - Country:US
Practice Address - Phone:757-401-9871
Practice Address - Fax:757-410-4210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-06
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1376085589Medicaid