Provider Demographics
NPI:1710160007
Name:QUALITY HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:QUALITY HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:LODATO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:786-584-8840
Mailing Address - Street 1:221 N UNIVERSITY DR STE B
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-6715
Mailing Address - Country:US
Mailing Address - Phone:954-965-2022
Mailing Address - Fax:954-965-2028
Practice Address - Street 1:221 N UNIVERSITY DR STE B
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-6715
Practice Address - Country:US
Practice Address - Phone:954-965-2022
Practice Address - Fax:954-965-2028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN PROCESS251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL024133900Medicaid