Provider Demographics
NPI:1730641465
Name:QUALCARE NURSE REGISTRY INC.
Entity Type:Organization
Organization Name:QUALCARE NURSE REGISTRY INC.
Other - Org Name:QUALCARE SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:W
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-638-4572
Mailing Address - Street 1:3800 INVERRARY BLVD STE 100-0
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319-4316
Mailing Address - Country:US
Mailing Address - Phone:954-638-4572
Mailing Address - Fax:954-634-5699
Practice Address - Street 1:3800 INVERRARY BLVD STE 100-0
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319-4382
Practice Address - Country:US
Practice Address - Phone:954-638-4572
Practice Address - Fax:954-634-5699
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:QUALCARE NURSE REGISTRY INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-04-02
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL104500100Medicaid