NPIMap

Organization Active NPI

Quality Care Sitter Service, Inc.

  • Home Health Agency
  • Beaumont, TX
National Provider Identifier
1003940792
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
006491 Issued in TX
Legal business name
QUALITY CARE SITTER SERVICE, INC.
Practice address
2613 Laurel St
Beaumont, TX 77702-2204
Phone
(409) 832-0011
Fax
(409) 838-0936
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Norman E Carlisle
Title
Secy-Treas
Phone
(409) 832-0011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 006491 TX Primary

Addresses

Primary practice location

2613 Laurel St
Beaumont, TX 77702-2204

Mailing address

2613 Laurel St
Beaumont, TX 77702-2204
Phone (409) 832-0011

Other identifiers 2

IdentifierTypeStateIssuer
001003400MedicaidTX
001003399MedicaidTX

Other names 1

  • dba Quality Care Services, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dba Quality Care Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2613 Laurel St
Beaumont, TX 77702
Phone (409) 832-0011

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1003940792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2613 LAUREL ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777022204",
            "telephone_number": "409-832-0011",
            "fax_number": "409-838-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2613 LAUREL ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777022204",
            "telephone_number": "409-832-0011",
            "fax_number": "409-838-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CARE SITTER SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "CARLISLE",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SECY-TREAS",
        "authorized_official_telephone_number": "409-832-0011",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "006491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001003400",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001003399",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Quality Care Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.