Provider Demographics
NPI:1851306336
Name:LEER'S QUALITY HOME HEALTH CARE SERVICES INC.
Entity Type:Organization
Organization Name:LEER'S QUALITY HOME HEALTH CARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:LEROY
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:SR
Authorized Official - Credentials:MA
Authorized Official - Phone:210-229-9908
Mailing Address - Street 1:4359 RITTIMAN RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78218-4362
Mailing Address - Country:US
Mailing Address - Phone:210-229-9908
Mailing Address - Fax:210-229-9927
Practice Address - Street 1:4359 RITTIMAN RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78218-4362
Practice Address - Country:US
Practice Address - Phone:210-229-9908
Practice Address - Fax:210-229-9927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX08669251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX459484Medicare PIN
TX=========Medicare Oscar/Certification
TX459484Medicare Oscar/Certification
TXSW21394Medicare Oscar/Certification