Provider Demographics
NPI:1891804308
Name:QUALITY LIVING, INC
Entity Type:Organization
Organization Name:QUALITY LIVING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT & CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:R
Authorized Official - Last Name:SCHUITEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-573-3744
Mailing Address - Street 1:6404 NORTH 70TH PLAZA
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104
Mailing Address - Country:US
Mailing Address - Phone:402-573-3700
Mailing Address - Fax:402-573-3780
Practice Address - Street 1:6404 NORTH 70TH PLAZA
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68104
Practice Address - Country:US
Practice Address - Phone:402-573-3700
Practice Address - Fax:402-573-3790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2009-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEHHA1002251E00000X
NEALF310400000X
NE264014313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
No251E00000XAgenciesHome Health
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD0157350Medicaid
NE00789OtherBLUE CROSS BLUE SHIELD OF
IA0659888Medicaid
NE00788OtherBLUE CROSS BLUE SHIELD OF
IA0650259Medicaid
NE=========00Medicaid
NE=========11OtherMEDICAID
IA0650259Medicaid
NE=========14OtherMEDICAID