Provider Demographics
NPI:1184643272
Name:QUEST HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:QUEST HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FIIFI
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-488-7442
Mailing Address - Street 1:627 W COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-5222
Mailing Address - Country:US
Mailing Address - Phone:817-488-7442
Mailing Address - Fax:817-251-4663
Practice Address - Street 1:627 W COLLEGE ST
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-5222
Practice Address - Country:US
Practice Address - Phone:817-488-7442
Practice Address - Fax:817-251-4663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008035251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679248Medicare ID - Type UnspecifiedPALMETTO GOVERNMENT