Provider Demographics
NPI:1417620881
Name:QAISI HOMECARE INC
Entity Type:Organization
Organization Name:QAISI HOMECARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAHAR
Authorized Official - Middle Name:
Authorized Official - Last Name:HASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-435-8306
Mailing Address - Street 1:4 PILGRIM LN
Mailing Address - Street 2:
Mailing Address - City:SACO
Mailing Address - State:ME
Mailing Address - Zip Code:04072-2411
Mailing Address - Country:US
Mailing Address - Phone:203-435-8306
Mailing Address - Fax:877-899-2287
Practice Address - Street 1:4 PILGRIM LN
Practice Address - Street 2:
Practice Address - City:SACO
Practice Address - State:ME
Practice Address - Zip Code:04072-2411
Practice Address - Country:US
Practice Address - Phone:203-435-8306
Practice Address - Fax:877-899-2287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-30
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care