Provider Demographics
NPI:1295791887
Name:FIRST QUALITY HOME CARE , INC
Entity type:Organization
Organization Name:FIRST QUALITY HOME CARE , INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO/DON
Authorized Official - Prefix:MRS
Authorized Official - First Name:DULCE
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:CUETARA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-223-0150
Mailing Address - Street 1:9250 W FLAGLER ST STE 510
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-3415
Mailing Address - Country:US
Mailing Address - Phone:305-223-0150
Mailing Address - Fax:305-223-0166
Practice Address - Street 1:9250 W FLAGLER ST STE 510
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-3415
Practice Address - Country:US
Practice Address - Phone:305-223-0150
Practice Address - Fax:305-223-0166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-24
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
FL21535096251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL015044400OtherLONG TERM COMMUNITY CARE DIVERSION PROGRAM
FL674268800OtherMEDICAID MW
FL650804900Medicaid
FL674268896OtherDEVELOPMENTAL
FL684188100OtherMEDICAID ALW
FL650804979OtherBRAIN & SPINAL CORD
FL674268802OtherAIDS
FL650804900Medicaid