Provider Demographics
NPI:1790879294
Name:Q.A. NURSING SERVICES, CORP
Entity Type:Organization
Organization Name:Q.A. NURSING SERVICES, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ODALYS
Authorized Official - Middle Name:H
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-383-1883
Mailing Address - Street 1:815 NW 57TH AVE STE 114
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-2041
Mailing Address - Country:US
Mailing Address - Phone:305-383-1883
Mailing Address - Fax:305-383-1882
Practice Address - Street 1:815 NW 57TH AVE STE 114
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-2041
Practice Address - Country:US
Practice Address - Phone:305-383-1883
Practice Address - Fax:305-383-1882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA299992154251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHHA299992154OtherAHCA LICENSE
FL10D1042262OtherCLIA
FL800020438OtherCLINICAL LABORATORY
FLHHA299992154OtherHOME HEALTH AGENCY
FL651199600Medicaid
FL108246Medicare Oscar/Certification