Provider Demographics
NPI:1962015909
Name:QUALITY CARE HEALTH SERVICES INC.
Entity Type:Organization
Organization Name:QUALITY CARE HEALTH SERVICES INC.
Other - Org Name:QUALITY CARE HEALTH SERVICES INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MANDRAKE
Authorized Official - Middle Name:K
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:919-279-8588
Mailing Address - Street 1:5030 FLINT RIDGE PL
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-4649
Mailing Address - Country:US
Mailing Address - Phone:919-279-8588
Mailing Address - Fax:
Practice Address - Street 1:301 S CHURCH ST STE 163
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-5748
Practice Address - Country:US
Practice Address - Phone:252-977-2200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-28
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No251E00000XAgenciesHome Health