Provider Demographics
NPI:1548566979
Name:QUALITY FAMILY CARE HOME CARE
Entity Type:Organization
Organization Name:QUALITY FAMILY CARE HOME CARE
Other - Org Name:QUALITY FAMILY CARE HOME CARE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JESSENIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VELEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-242-9450
Mailing Address - Street 1:2300 W SAMPLE RD STE 215
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33073-3049
Mailing Address - Country:US
Mailing Address - Phone:754-227-7175
Mailing Address - Fax:754-227-7177
Practice Address - Street 1:2300 W SAMPLE RD STE 215
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33073-3049
Practice Address - Country:US
Practice Address - Phone:754-227-7175
Practice Address - Fax:754-227-7177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-02
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty
No251E00000XAgenciesHome Health