Provider Demographics
NPI:1487657854
Name:QUALITY HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:QUALITY HOME HEALTH CARE, INC.
Other - Org Name:QUALITY HOME HEALTH CARE, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/CFO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DUSTIN
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:VANSICKLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-892-9281
Mailing Address - Street 1:1515 S SAM RAYBURN FWY
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-8735
Mailing Address - Country:US
Mailing Address - Phone:903-892-9281
Mailing Address - Fax:903-870-0580
Practice Address - Street 1:1515 S SAM RAYBURN FWY
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-8735
Practice Address - Country:US
Practice Address - Phone:903-892-9281
Practice Address - Fax:903-870-0580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-31
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX016727251E00000X
3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX016727Medicaid
TX945419162Medicaid
TX1962405431Medicaid
TX945411162Medicaid
TX001015454Medicaid
TX000632900Medicaid
TX945221160Medicaid
TX945539168Medicaid
TX001026953Medicaid
TX677638Medicaid
TX008002Medicaid
TX024770201Medicaid
TX945418162Medicaid
TX945542160Medicaid
TX945411162Medicaid