Provider Demographics
NPI:1558502070
Name:QUALITY NURSING HOME HEALTH, LLC
Entity Type:Organization
Organization Name:QUALITY NURSING HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARISSA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:YOUNGBLOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-734-0014
Mailing Address - Street 1:5700 LAKE WORTH RD
Mailing Address - Street 2:SUITE 311-6
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-4727
Mailing Address - Country:US
Mailing Address - Phone:561-734-0014
Mailing Address - Fax:561-880-0013
Practice Address - Street 1:5700 LAKE WORTH RD
Practice Address - Street 2:SUITE 311-6
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-4727
Practice Address - Country:US
Practice Address - Phone:561-734-0014
Practice Address - Fax:561-880-0013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-12
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211386251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health