Provider Demographics
NPI:1013910959
Name:HOSPICE QUALITY CARE, INC.
Entity Type:Organization
Organization Name:HOSPICE QUALITY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANN
Authorized Official - Middle Name:J
Authorized Official - Last Name:MARR
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CHPN
Authorized Official - Phone:405-619-9100
Mailing Address - Street 1:921 S SOONER RD
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73110-2425
Mailing Address - Country:US
Mailing Address - Phone:405-619-9100
Mailing Address - Fax:405-619-9103
Practice Address - Street 1:921 S SOONER RD
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73110-2425
Practice Address - Country:US
Practice Address - Phone:405-619-9100
Practice Address - Fax:405-619-9103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-24
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4097251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100685970AMedicaid
OK4097OtherHOSPICE LICENSE NUMBER
OK100685970AMedicaid