Provider Demographics
NPI:1730321944
Name:G. C. QUALITY HOMES, INC.
Entity Type:Organization
Organization Name:G. C. QUALITY HOMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER /ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:CABRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-303-4091
Mailing Address - Street 1:5370 NW 172ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33055-4062
Mailing Address - Country:US
Mailing Address - Phone:786-303-4091
Mailing Address - Fax:305-362-4022
Practice Address - Street 1:5370 NW 172ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33055-4062
Practice Address - Country:US
Practice Address - Phone:786-303-4091
Practice Address - Fax:305-362-4022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-02
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL11374310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility