Provider Demographics
NPI:1942220454
Name:QUALITY CARE SENIOR SERVICES, INC.
Entity Type:Organization
Organization Name:QUALITY CARE SENIOR SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:DOSS
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:336-367-7012
Mailing Address - Street 1:PO BOX 190
Mailing Address - Street 2:
Mailing Address - City:BOONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27011-0190
Mailing Address - Country:US
Mailing Address - Phone:336-367-7012
Mailing Address - Fax:
Practice Address - Street 1:113 B WEST MAIN ST.
Practice Address - Street 2:
Practice Address - City:BOONVILLE
Practice Address - State:NC
Practice Address - Zip Code:27011
Practice Address - Country:US
Practice Address - Phone:336-367-7012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2071376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6600848Medicaid
NC3409443Medicaid