Provider Demographics
NPI:1558407304
Name:QUALITY LIFE HOME CARE CORP.
Entity Type:Organization
Organization Name:QUALITY LIFE HOME CARE CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:ESCARDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-698-0127
Mailing Address - Street 1:7811 CORAL WAY STE 135
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-6540
Mailing Address - Country:US
Mailing Address - Phone:305-698-0127
Mailing Address - Fax:305-698-0129
Practice Address - Street 1:7811 CORAL WAY STE 135
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155
Practice Address - Country:US
Practice Address - Phone:305-698-0127
Practice Address - Fax:305-698-0129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2018-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA299992634251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHHA299992634OtherHOME HEALTH AGENCY LICENS
FL299992634Medicare UPIN