Provider Demographics
NPI:1790761971
Name:AMERICAN QUALITY CARE, INC.
Entity Type:Organization
Organization Name:AMERICAN QUALITY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:NANETTE
Authorized Official - Middle Name:NAVARRO
Authorized Official - Last Name:BANARES
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:626-918-5674
Mailing Address - Street 1:1414 S AZUSA AVE
Mailing Address - Street 2:UNIT B 14
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91791-4088
Mailing Address - Country:US
Mailing Address - Phone:626-918-5674
Mailing Address - Fax:626-918-8324
Practice Address - Street 1:1414 S AZUSA AVE
Practice Address - Street 2:UNIT B 14
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91791-4088
Practice Address - Country:US
Practice Address - Phone:626-918-5674
Practice Address - Fax:626-918-8324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA557604Medicare ID - Type UnspecifiedHOME HEALTH AGENCY