Provider Demographics
NPI:1902223712
Name:QUALITY HOME CARE SERVICES
Entity Type:Organization
Organization Name:QUALITY HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MS
Authorized Official - First Name:SHANITA
Authorized Official - Middle Name:LANEE
Authorized Official - Last Name:FLANAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:CNA CERTIFIED NUR
Authorized Official - Phone:502-716-3480
Mailing Address - Street 1:123 N SHAWNEE TER
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40212-2650
Mailing Address - Country:US
Mailing Address - Phone:502-716-3480
Mailing Address - Fax:
Practice Address - Street 1:123 N SHAWNEE TER
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40212-2650
Practice Address - Country:US
Practice Address - Phone:502-716-3480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-19
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care