QUALITY HOME CARE LLC NPI 1639648603

NPI Information

NPI: 1639648603
Provider Name: QUALITY HOME CARE LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
12639 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL
ZIP 32258
Phone: (904) 707-7675
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QUALITY HOME CARE LLC is an assisted living facility in Jacksonville, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. QUALITY HOME CARE LLC NPI is 1639648603. The provider is registered as an organization entity type.

The provider's business location address is:

12639 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL
ZIP 32258-232
Phone: (904) 707-7675
Fax: (855) 463-5928

The provider's authorized official is Larisa Grigoryan .
The authorized official title is Administrator and has the following contact phone number (904) 707-7675.

The enumeration date for this NPI number is 11/19/2018 and was last updated on 12/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Primary
1	251E00000X	Home Health	No
2	376J00000X	Homemaker	No
3	310400000X	Assisted Living Facility	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100858000	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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