Provider Demographics
NPI:1740872225
Name:QUALITY CARE PREFERENCE LLC
Entity type:Organization
Organization Name:QUALITY CARE PREFERENCE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAAGER
Authorized Official - Prefix:
Authorized Official - First Name:TESA
Authorized Official - Middle Name:LHO
Authorized Official - Last Name:TAPURIAH
Authorized Official - Suffix:
Authorized Official - Credentials:COMP IN SUB ABUSE
Authorized Official - Phone:863-800-2018
Mailing Address - Street 1:1506 PIIKOI ST APT 1104
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-6109
Mailing Address - Country:US
Mailing Address - Phone:863-800-2018
Mailing Address - Fax:
Practice Address - Street 1:173 S KUKUI ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2320
Practice Address - Country:US
Practice Address - Phone:863-800-2018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-06
Last Update Date:2021-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty