Provider Demographics
NPI:1447210299
Name:QUALITY HOME CARE PROVIDERS, INC.
Entity Type:Organization
Organization Name:QUALITY HOME CARE PROVIDERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MUNR
Authorized Official - Middle Name:
Authorized Official - Last Name:KAZMIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-585-9234
Mailing Address - Street 1:345 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:LEONIA
Mailing Address - State:NJ
Mailing Address - Zip Code:07605-2238
Mailing Address - Country:US
Mailing Address - Phone:201-585-9234
Mailing Address - Fax:201-585-9633
Practice Address - Street 1:345 GRAND AVE
Practice Address - Street 2:
Practice Address - City:LEONIA
Practice Address - State:NJ
Practice Address - Zip Code:07605-2238
Practice Address - Country:US
Practice Address - Phone:201-585-9234
Practice Address - Fax:201-585-9633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6142401Medicaid
NJ0726700001Medicare ID - Type Unspecified