Provider Demographics
NPI:1255723920
Name:QANDIL IN-HOME SENIORES CARE INC.
Entity type:Organization
Organization Name:QANDIL IN-HOME SENIORES CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:YASIN
Authorized Official - Last Name:BABAN
Authorized Official - Suffix:
Authorized Official - Credentials:CHEMIST
Authorized Official - Phone:314-665-9672
Mailing Address - Street 1:6211 CHARLOTTE PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-3029
Mailing Address - Country:US
Mailing Address - Phone:313-665-9672
Mailing Address - Fax:615-352-4447
Practice Address - Street 1:6211 CHARLOTTE PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-3029
Practice Address - Country:US
Practice Address - Phone:313-665-9672
Practice Address - Fax:615-352-4447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-04
Last Update Date:2015-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN184922251E00000X, 261QP0905X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local