Provider Demographics
| NPI: | 1518199926 |
|---|---|
| Name: | QUALITY COMMUNITY SRVICES INC., (QCS) |
| Entity type: | Organization |
| Organization Name: | QUALITY COMMUNITY SRVICES INC., (QCS) |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | DIRECTOR |
| Authorized Official - Prefix: | MS |
| Authorized Official - First Name: | SANDRA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | MOREAU |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MASTER |
| Authorized Official - Phone: | 305-301-4854 |
| Mailing Address - Street 1: | PO BOX 8175 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | CORAL SPRINGS |
| Mailing Address - State: | FL |
| Mailing Address - Zip Code: | 33075-8175 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 305-301-4854 |
| Mailing Address - Fax: | 754-800-7982 |
| Practice Address - Street 1: | 10191 W SAMPLE RD |
| Practice Address - Street 2: | |
| Practice Address - City: | CORAL SPRINGS |
| Practice Address - State: | FL |
| Practice Address - Zip Code: | 33065-3976 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 305-301-4854 |
| Practice Address - Fax: | 754-800-7982 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2009-08-18 |
| Last Update Date: | 2022-07-21 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| 101YA0400X, 101YM0800X, 101YP2500X, 103K00000X, 225100000X, 225X00000X, 225XR0403X, 227800000X, 251B00000X, 251G00000X, 251T00000X, 252Y00000X, 253Z00000X, 251E00000X | ||
| FL | 343900000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 251E00000X | Agencies | Home Health | ||
| No | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
| No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
| No | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional | Group - Multi-Specialty |
| No | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | Group - Multi-Specialty | |
| No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
| No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
| No | 225XR0403X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Driving and Community Mobility | Group - Multi-Specialty |
| No | 227800000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Group - Multi-Specialty | |
| No | 251B00000X | Agencies | Case Management | Group - Multi-Specialty | |
| No | 251G00000X | Agencies | Hospice Care, Community Based | Group - Multi-Specialty | |
| No | 251T00000X | Agencies | Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | Group - Multi-Specialty | |
| No | 252Y00000X | Agencies | Early Intervention Provider Agency | Group - Multi-Specialty | |
| No | 253Z00000X | Agencies | In Home Supportive Care | Group - Multi-Specialty | |
| No | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| FL | 1518199926 | Medicaid |