Provider Demographics
NPI:1881627354
Name:QUILTED CARE CHOICES, LLC
Entity type:Organization
Organization Name:QUILTED CARE CHOICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:WITT
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:505-797-8735
Mailing Address - Street 1:5353 WYOMING BLVD NE
Mailing Address - Street 2:SUITE A
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-3132
Mailing Address - Country:US
Mailing Address - Phone:505-797-8735
Mailing Address - Fax:505-797-9003
Practice Address - Street 1:2501 WESTERLAND DR
Practice Address - Street 2:ATTN: HOME HEALTH
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-2207
Practice Address - Country:US
Practice Address - Phone:713-783-6820
Practice Address - Fax:713-783-0634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010167251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health