Provider Demographics
NPI:1669657771
Name:QUALITY CARE PROVIDER & SERVICES INC
Entity Type:Organization
Organization Name:QUALITY CARE PROVIDER & SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITING-DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-582-8045
Mailing Address - Street 1:10115 FALLMONT CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77086-2954
Mailing Address - Country:US
Mailing Address - Phone:713-582-8045
Mailing Address - Fax:713-783-7519
Practice Address - Street 1:10115 FALLMONT CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77086-2954
Practice Address - Country:US
Practice Address - Phone:713-582-8045
Practice Address - Fax:713-783-7519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010475251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health