Provider Demographics
NPI:1851353858
Name:QUALITY CARE HOME HEALTH, LLC
Entity Type:Organization
Organization Name:QUALITY CARE HOME HEALTH, LLC
Other - Org Name:VITALCARING GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-239-6500
Mailing Address - Street 1:5460 63RD ST E UNIT A
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34203-7808
Mailing Address - Country:US
Mailing Address - Phone:941-907-1595
Mailing Address - Fax:941-907-4768
Practice Address - Street 1:851 DUNLAWTON AVE STE 202
Practice Address - Street 2:
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32127-4234
Practice Address - Country:US
Practice Address - Phone:386-756-1418
Practice Address - Fax:386-756-1423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-05
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
108203OtherMEDICARE CCN
FL299992159OtherSTATE OF FLORIDA