Provider Demographics
NPI:1528574639
Name:QLS BEAVER FALLS LLC
Entity Type:Organization
Organization Name:QLS BEAVER FALLS LLC
Other - Org Name:QUALITY LIFE SERVICES - BEAVER FALLS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RIPPEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-431-0770
Mailing Address - Street 1:612 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-4363
Mailing Address - Country:US
Mailing Address - Phone:724-431-0770
Mailing Address - Fax:
Practice Address - Street 1:257 GEORGETOWN RD
Practice Address - Street 2:
Practice Address - City:BEAVER FALLS
Practice Address - State:PA
Practice Address - Zip Code:15010-9740
Practice Address - Country:US
Practice Address - Phone:724-431-0700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TACK HUD LEASE HOLDINGS LP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-12-27
Last Update Date:2017-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility