Provider Demographics
NPI:1740603612
Name:QUALITY FIRST HEALTHCARE SERVICES, LLC
Entity Type:Organization
Organization Name:QUALITY FIRST HEALTHCARE SERVICES, LLC
Other - Org Name:QUALITY FIRST HOME CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:K
Authorized Official - Last Name:BOATENG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-639-3976
Mailing Address - Street 1:PO BOX 450414
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:31145-0414
Mailing Address - Country:US
Mailing Address - Phone:770-639-3976
Mailing Address - Fax:404-448-4486
Practice Address - Street 1:2900 CHAMBLEE TUCKER RD
Practice Address - Street 2:BLDG 5, SUITE 200
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30341-4100
Practice Address - Country:US
Practice Address - Phone:770-639-3976
Practice Address - Fax:404-448-4486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-29
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA067R0067251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA383275432AMedicaid