Provider Demographics
NPI:1811237704
Name:A PLUS QUALITY CARE, LLC
Entity Type:Organization
Organization Name:A PLUS QUALITY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TANAQUIL
Authorized Official - Middle Name:
Authorized Official - Last Name:POWERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-879-9301
Mailing Address - Street 1:195 W 9 MILE RD STE 207
Mailing Address - Street 2:
Mailing Address - City:FERNDALE
Mailing Address - State:MI
Mailing Address - Zip Code:48220-1750
Mailing Address - Country:US
Mailing Address - Phone:313-879-9301
Mailing Address - Fax:855-516-8881
Practice Address - Street 1:195 W 9 MILE RD STE 207
Practice Address - Street 2:
Practice Address - City:FERNDALE
Practice Address - State:MI
Practice Address - Zip Code:48220-1750
Practice Address - Country:US
Practice Address - Phone:313-879-9301
Practice Address - Fax:855-516-8881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIMI6528Medicare PIN