Provider Demographics
NPI:1356217327
Name:CHASE QUALITY CARE
Entity type:Organization
Organization Name:CHASE QUALITY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERICKA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-476-8343
Mailing Address - Street 1:812 16TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:RUSKIN
Mailing Address - State:FL
Mailing Address - Zip Code:33570-6013
Mailing Address - Country:US
Mailing Address - Phone:813-476-8343
Mailing Address - Fax:813-476-8343
Practice Address - Street 1:812 16TH AVE SE
Practice Address - Street 2:
Practice Address - City:RUSKIN
Practice Address - State:FL
Practice Address - Zip Code:33570-6013
Practice Address - Country:US
Practice Address - Phone:813-476-8343
Practice Address - Fax:813-476-8343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-15
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities