Provider Demographics
NPI:1508242322
Name:QUESTQUAL HEALTHCARE, LLC
Entity Type:Organization
Organization Name:QUESTQUAL HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:HAILE
Authorized Official - Last Name:MELLES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:210-748-8177
Mailing Address - Street 1:9639 SILVER MOON
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78254-6110
Mailing Address - Country:US
Mailing Address - Phone:210-748-8177
Mailing Address - Fax:210-739-6053
Practice Address - Street 1:9639 SILVER MOON
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78254-6110
Practice Address - Country:US
Practice Address - Phone:210-748-8177
Practice Address - Fax:210-739-6053
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:QUESTQUAL HOME HEALTH SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-08-04
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health