Provider Demographics
NPI:1881855724
Name:TOTAL QUALITY HEALTHCARE, LLC
Entity Type:Organization
Organization Name:TOTAL QUALITY HEALTHCARE, LLC
Other - Org Name:TOTAL QUALITY HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDREASE
Authorized Official - Middle Name:L
Authorized Official - Last Name:BROOMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-548-7865
Mailing Address - Street 1:4151 MEMORIAL DR
Mailing Address - Street 2:SUITE 206B
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30032-1594
Mailing Address - Country:US
Mailing Address - Phone:404-508-9009
Mailing Address - Fax:404-506-9200
Practice Address - Street 1:4151 MEMORIAL DR
Practice Address - Street 2:SUITE 206B
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30032-1594
Practice Address - Country:US
Practice Address - Phone:404-508-9009
Practice Address - Fax:404-506-9200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-23
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA04-R-0594253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care