Provider Demographics
NPI:1740506559
Name:QUALITY HEALTH INC.
Entity type:Organization
Organization Name:QUALITY HEALTH INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:GREGORY
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:801-747-0330
Mailing Address - Street 1:888 E 3900 S
Mailing Address - Street 2:UNIT B
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-2151
Mailing Address - Country:US
Mailing Address - Phone:801-747-0330
Mailing Address - Fax:801-747-2294
Practice Address - Street 1:888 E 3900 S
Practice Address - Street 2:UNIT B
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84107-2151
Practice Address - Country:US
Practice Address - Phone:801-747-0330
Practice Address - Fax:801-747-2294
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:QUALITY HEALTH INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-04-19
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2011-HHA-98720251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT46D2017036OtherCLIA
UT1740506559Medicaid
UT2012-HOSPICE-98720OtherUTAH DEPARTMENT OF HEALTH LICENSE
UT2012-HOSPICE-98720OtherUTAH DEPARTMENT OF HEALTH LICENSE