Provider Demographics
NPI:1619149523
Name:FIRST QUALITY HOME HEALTH CARE SERVICES, INC.
Entity Type:Organization
Organization Name:FIRST QUALITY HOME HEALTH CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANIETIE
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-925-0023
Mailing Address - Street 1:4708 147TH ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:IL
Mailing Address - Zip Code:60445-2527
Mailing Address - Country:US
Mailing Address - Phone:708-925-0023
Mailing Address - Fax:708-925-0542
Practice Address - Street 1:4708 147TH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:MIDLOTHIAN
Practice Address - State:IL
Practice Address - Zip Code:60445-2527
Practice Address - Country:US
Practice Address - Phone:708-925-0023
Practice Address - Fax:708-925-0542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-31
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1010789Medicaid