Provider Demographics
NPI:1891010013
Name:QUALITY HEALTH INC.
Entity Type:Organization
Organization Name:QUALITY HEALTH INC.
Other - Org Name:QUALITY SOLACE SERVICES-LIFECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:NINO
Authorized Official - Middle Name:G
Authorized Official - Last Name:CALFA
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:801-747-0330
Mailing Address - Street 1:888 E 3900 S
Mailing Address - Street 2:UNIT B
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-2151
Mailing Address - Country:US
Mailing Address - Phone:801-747-0330
Mailing Address - Fax:801-747-2294
Practice Address - Street 1:888 E 3900 S
Practice Address - Street 2:UNIT B
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84107-2151
Practice Address - Country:US
Practice Address - Phone:801-747-0330
Practice Address - Fax:801-747-2294
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:QUALITY HEALTH INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-03-30
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2011-HHA-99257251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT2012-HHA-99257OtherUTAH STATE LICENSE
UT46D2016125OtherCLIA
UT1891010013Medicaid
UT467329Medicare Oscar/Certification