Provider Demographics
NPI:1710458237
Name:QUALITY LIVING INC
Entity Type:Organization
Organization Name:QUALITY LIVING INC
Other - Org Name:QLI PHYSICIAN'S CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT & CFO
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:R
Authorized Official - Last Name:SCHUITEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-573-3744
Mailing Address - Street 1:6404 N 70TH PLZ
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-1074
Mailing Address - Country:US
Mailing Address - Phone:402-573-3700
Mailing Address - Fax:402-573-3780
Practice Address - Street 1:6320 N 70TH PLZ
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68104-1072
Practice Address - Country:US
Practice Address - Phone:402-573-3700
Practice Address - Fax:402-573-3790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-10
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty