Provider Demographics
NPI:1477187755
Name:QUALITY SERVICE PERSONAL CARE LLC
Entity Type:Organization
Organization Name:QUALITY SERVICE PERSONAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:CARLOS
Authorized Official - Last Name:ALFARO-LOSSIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-259-0231
Mailing Address - Street 1:1515 E TROPICANA AVE STE 305
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-6519
Mailing Address - Country:US
Mailing Address - Phone:702-259-0231
Mailing Address - Fax:702-259-6311
Practice Address - Street 1:1515 E TROPICANA AVE STE 305
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-6519
Practice Address - Country:US
Practice Address - Phone:702-259-0231
Practice Address - Fax:702-259-6311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-26
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care