Provider Demographics
NPI:1740598796
Name:DOUBLE QUALITY CARE
Entity Type:Organization
Organization Name:DOUBLE QUALITY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/ TCM
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:PELT
Authorized Official - Suffix:
Authorized Official - Credentials:TCM, TLS, HHA, MHT
Authorized Official - Phone:785-233-5554
Mailing Address - Street 1:2338 SE MADISON ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66605-1151
Mailing Address - Country:US
Mailing Address - Phone:785-233-5554
Mailing Address - Fax:785-233-5259
Practice Address - Street 1:2338 SE MADISON ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66605-1151
Practice Address - Country:US
Practice Address - Phone:785-233-5554
Practice Address - Fax:785-233-5259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-23
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities