Provider Demographics
NPI:1578561320
Name:QS NURSES HOME CARE SERVICES, INC.
Entity Type:Organization
Organization Name:QS NURSES HOME CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MISS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:PRIME
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:719-635-2203
Mailing Address - Street 1:212 E MONUMENT ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-1004
Mailing Address - Country:US
Mailing Address - Phone:719-635-2003
Mailing Address - Fax:719-633-0506
Practice Address - Street 1:212 E MONUMENT ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-1004
Practice Address - Country:US
Practice Address - Phone:719-635-2003
Practice Address - Fax:719-633-0506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO05701685Medicaid
06-7275Medicare ID - Type Unspecified