Provider Demographics
NPI:1508221243
Name:QUALITY HOME CARE, LLC
Entity Type:Organization
Organization Name:QUALITY HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHIGOZIE
Authorized Official - Middle Name:MANLEY
Authorized Official - Last Name:ENOCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-791-8298
Mailing Address - Street 1:124 EMBLETON RD
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-1705
Mailing Address - Country:US
Mailing Address - Phone:443-791-8298
Mailing Address - Fax:410-654-3646
Practice Address - Street 1:124 EMBLETON ROAD
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117
Practice Address - Country:US
Practice Address - Phone:443-791-8298
Practice Address - Fax:410-654-3646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-23
Last Update Date:2015-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDRS3820253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care