Provider Demographics
NPI:1457683781
Name:QUALITYCARE STAFFING SERVICES, INC.
Entity Type:Organization
Organization Name:QUALITYCARE STAFFING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATER
Authorized Official - Prefix:MS
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:MODESTE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:718-723-2843
Mailing Address - Street 1:14355 226TH ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:LAURELTON
Mailing Address - State:NY
Mailing Address - Zip Code:11413-3531
Mailing Address - Country:US
Mailing Address - Phone:718-723-1180
Mailing Address - Fax:718-723-2843
Practice Address - Street 1:14355 226TH ST
Practice Address - Street 2:SUITE B
Practice Address - City:LAURELTON
Practice Address - State:NY
Practice Address - Zip Code:11413-3531
Practice Address - Country:US
Practice Address - Phone:718-723-1180
Practice Address - Fax:718-723-2843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-11
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1511L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health