Provider Demographics
NPI:1578872750
Name:QUALITY CARE HOME HEALTH INC
Entity Type:Organization
Organization Name:QUALITY CARE HOME HEALTH INC
Other - Org Name:NA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LPN NURSE SUPERVISOR
Authorized Official - Prefix:MR
Authorized Official - First Name:UCHENNA
Authorized Official - Middle Name:O
Authorized Official - Last Name:OKORIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-242-2929
Mailing Address - Street 1:2828 NW 57TH ST STE 301
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-7070
Mailing Address - Country:US
Mailing Address - Phone:405-242-2928
Mailing Address - Fax:
Practice Address - Street 1:2828 NW 57TH ST STE 301
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-7070
Practice Address - Country:US
Practice Address - Phone:405-242-2928
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-05
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X
OKL0049605251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management