Provider Demographics
NPI:1891237954
Name:QUALITY SENIOR CARE, LLC
Entity Type:Organization
Organization Name:QUALITY SENIOR CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FELICITA
Authorized Official - Middle Name:D
Authorized Official - Last Name:YADAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-480-0673
Mailing Address - Street 1:2770 S MARYLAND PKWY STE 313
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-1566
Mailing Address - Country:US
Mailing Address - Phone:702-480-0673
Mailing Address - Fax:702-892-0850
Practice Address - Street 1:2770 S MARYLAND PKWY STE 313
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-1566
Practice Address - Country:US
Practice Address - Phone:702-480-0673
Practice Address - Fax:702-892-0850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-07
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8432-PCS-0253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care