Provider Demographics
NPI: | 1518199926 |
---|---|
Name: | QUALITY COMMUNITY SRVICES INC., (QCS) |
Entity Type: | Organization |
Organization Name: | QUALITY COMMUNITY SRVICES INC., (QCS) |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | DIRECTOR |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | SANDRA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | MOREAU |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MASTER |
Authorized Official - Phone: | 305-301-4854 |
Mailing Address - Street 1: | PO BOX 8175 |
Mailing Address - Street 2: | |
Mailing Address - City: | CORAL SPRINGS |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33075-8175 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 305-301-4854 |
Mailing Address - Fax: | 754-800-7982 |
Practice Address - Street 1: | 10191 W SAMPLE RD |
Practice Address - Street 2: | |
Practice Address - City: | CORAL SPRINGS |
Practice Address - State: | FL |
Practice Address - Zip Code: | 33065-3976 |
Practice Address - Country: | US |
Practice Address - Phone: | 305-301-4854 |
Practice Address - Fax: | 754-800-7982 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2009-08-18 |
Last Update Date: | 2022-07-21 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
101YA0400X, 101YM0800X, 101YP2500X, 103K00000X, 225100000X, 225X00000X, 225XR0403X, 227800000X, 251B00000X, 251E00000X, 251G00000X, 251T00000X, 252Y00000X, 253Z00000X | ||
FL | 343900000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 251E00000X | Agencies | Home Health | Group - Multi-Specialty | |
No | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
No | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional | Group - Multi-Specialty |
No | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | Group - Multi-Specialty | |
No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
No | 225XR0403X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Driving and Community Mobility | Group - Multi-Specialty |
No | 227800000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Group - Multi-Specialty | |
No | 251B00000X | Agencies | Case Management | Group - Multi-Specialty | |
No | 251G00000X | Agencies | Hospice Care, Community Based | Group - Multi-Specialty | |
No | 251T00000X | Agencies | Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | Group - Multi-Specialty | |
No | 252Y00000X | Agencies | Early Intervention Provider Agency | Group - Multi-Specialty | |
No | 253Z00000X | Agencies | In Home Supportive Care | ||
No | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
FL | 1518199926 | Medicaid |