Provider Demographics
NPI:1972883742
Name:QUALITY LIVING HOME HEALTH CARE. LLC
Entity Type:Organization
Organization Name:QUALITY LIVING HOME HEALTH CARE. LLC
Other - Org Name:TRILOGY HOME HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:HYNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-697-3606
Mailing Address - Street 1:1645 PALM BEACH LAKES BLVD STE 1100
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-2218
Mailing Address - Country:US
Mailing Address - Phone:561-697-3606
Mailing Address - Fax:561-697-3614
Practice Address - Street 1:25400 US HIGHWAY 19 N STE 164
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33763-2150
Practice Address - Country:US
Practice Address - Phone:727-803-6982
Practice Address - Fax:727-289-7267
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VITALITY HOME CARE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-08-24
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL299993975OtherFLORIDA AHCA