Provider Demographics
NPI:1619603529
Name:QUALITY OF LIFE PATIENT CARE SERVICES LLC
Entity Type:Organization
Organization Name:QUALITY OF LIFE PATIENT CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN/RN
Authorized Official - Prefix:
Authorized Official - First Name:DARLENR
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:ADN, RN
Authorized Official - Phone:513-377-9132
Mailing Address - Street 1:6022 HARRISON AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45248-1620
Mailing Address - Country:US
Mailing Address - Phone:513-720-3401
Mailing Address - Fax:
Practice Address - Street 1:6022 HARRISON AVE STE 6
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45248-1620
Practice Address - Country:US
Practice Address - Phone:513-720-3401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-25
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
0OtherNONE/APPLICABLE