Provider Demographics
NPI:1205966942
Name:QUALITY HOME CARE & COMMUNITY SERVICES INC
Entity type:Organization
Organization Name:QUALITY HOME CARE & COMMUNITY SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:910-863-3004
Mailing Address - Street 1:PO BOX 326
Mailing Address - Street 2:400 SOUTH MAIN STREET
Mailing Address - City:BLADENBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28320-0326
Mailing Address - Country:US
Mailing Address - Phone:910-863-3004
Mailing Address - Fax:
Practice Address - Street 1:400 SOUTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:BLADENBORO
Practice Address - State:NC
Practice Address - Zip Code:28320-0326
Practice Address - Country:US
Practice Address - Phone:910-863-3004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2787251E00000X
NCHC3014251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6601158Medicaid