Provider Demographics
NPI:1417232745
Name:QUALITY CLINICIANS CARE HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:QUALITY CLINICIANS CARE HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:SUKHBIR
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:408-540-8405
Mailing Address - Street 1:4699 OLD IRONSIDES DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95054-1824
Mailing Address - Country:US
Mailing Address - Phone:408-680-7449
Mailing Address - Fax:408-564-7905
Practice Address - Street 1:4699 OLD IRONSIDES DR
Practice Address - Street 2:SUITE 400
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95054-1824
Practice Address - Country:US
Practice Address - Phone:408-680-7449
Practice Address - Fax:408-564-7905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-18
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA05-9508OtherMEDICARE