Provider Demographics
NPI:1922367010
Name:QUALITY CARE PROVIDERS
Entity Type:Organization
Organization Name:QUALITY CARE PROVIDERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:KIMBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-946-3413
Mailing Address - Street 1:5565 CINDERLANE PKWY
Mailing Address - Street 2:291
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32808-4705
Mailing Address - Country:US
Mailing Address - Phone:321-946-3413
Mailing Address - Fax:
Practice Address - Street 1:5565 CINDERLANE PKWY
Practice Address - Street 2:291
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32808-4705
Practice Address - Country:US
Practice Address - Phone:321-946-3413
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-09
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251C00000XAgenciesDay Training, Developmentally Disabled ServicesGroup - Multi-Specialty
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty