NPIMap

Organization Active NPI

Quality of Life Health Services, Inc

Doing business as Pro-Care Colley Homes

  • Community Health Clinic/Center
  • Gadsden, AL
National Provider Identifier
1023069416
Registry record updated Apr 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
QUALITY OF LIFE HEALTH SERVICES, INC
Doing business as
Pro-Care Colley Homes
Practice address
420 N 6TH St
Gadsden, AL 35901-3244
Phone
(256) 492-0131
NPI assigned
May 12, 2006
Last updated
Apr 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2010

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

Authorized official

Name
Mr. Wayne Rowe
Title
Ceo
Phone
(256) 492-0131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

420 N 6TH St
Gadsden, AL 35901-3244

Mailing address

PO Box 97
Gadsden, AL 35902-0097
Phone (256) 492-0131

Other names 1

  • PRO-CARE COLLEY HOMES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040324000006 AL Part B Supplier - Clinic/Group Practice 7810890902 Receives reassigned benefits from 125 practitioners
22 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Heflin, AL; Horton, AL; Lafayette, AL; Lanett, AL; Oneonta, AL; Phenix City, AL; Sardis City, AL; Talladega, AL…
O20100304000341 AL Part A Provider - Federally Qualified Health Center (FQHC) 7810890902 Practice locations: Gadsden, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023069416. Details of each certification follow.

Federally qualified health center certification: CCN 011874

Legal name
QUALITY OF LIFE HEALTH SERVICES INC
Doing business as
PROCARE COLLEY HOMES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 16, 1994
Last certification
Jun 16, 1994
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Nov 1, 1977 in AL
Enrollment address
420 North 6TH St
Gadsden, AL 35901-3244
Related CCNs
011813

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 22

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 22

Other NPIs on the same Medicare enrollment 22

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 22

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0914060Procare Medical Center Colley Homes420 North 6TH Street, Gadsden, AL 35901Certificate of waiverOct 14, 2026

National Provider Directory

National Provider Directory
Tax ID family
Gad Neighborhood HLT CLN30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

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

View all 29

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Wayne C Rowe Individual Corporate DirectorPresident/Ceo Jun 16, 1994 100%
W-2 Managing EmployeePresident/Ceo Jun 16, 1994 100%
Mario a Saenz Individual Corporate DirectorBoard Member Jul 15, 2010
Urick Wright Individual Corporate DirectorBoard Member Aug 20, 2020
Tonia Rosser Individual Corporate DirectorBoard Member Jul 16, 2020
Nettie McCurdy Individual Corporate DirectorBoard Member Jun 24, 2021
Christopher a Reynolds Individual Corporate DirectorBoard Secretary/Board Member Jul 18, 2013
Kristie L Cornelious Individual Corporate DirectorBoard Member Jan 19, 2017
Muhammad Kamran Individual Corporate DirectorBoard Member Nov 21, 2019
Tina M Cylar Individual Corporate DirectorBoard Member Jun 26, 2004
Tarva N Vaughn Individual Corporate DirectorBoard President and Board Member Jan 9, 1996
Carolyn H Parker Individual Corporate DirectorBoard Member Jun 14, 2012
Quality of Life Health Services Inc Organization, Gadsden, AL Corporation, For-profit 5% Or Greater Direct Ownership Interest Jun 16, 1994
Dante a Whittaker Individual Corporate DirectorBoard Vice President, Board Memb Feb 17, 2005
Jodi D Leighton Individual Corporate DirectorBoard Member Dec 15, 2016
Duane a Reddick Individual Corporate DirectorBoard Member Sep 21, 2017
Cecilia Cruz-Zanzig Individual Corporate DirectorBoard Secretary/Board Member Jun 26, 2015

Owners & managing parties with NPI records 23

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 23

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Blount County Quality Health CareOneonta, AL, CCN 011947 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 19, 2008
Douglas Medical CenterHorton, AL, CCN 011957 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Dec 10, 2009
Dec 10, 2009
Dekalb Quality Health CareGeraldine, AL, CCN 011962 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Sep 1, 2011
Sep 1, 2011
Wadley Cornerstone ClinicWadley, AL, CCN 011963 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Dec 21, 2009
Dec 21, 2009
Calhoun Quality Health CareAnniston, AL, CCN 011010 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Mar 10, 2014
Susie E Allen Health CenterPhenix City, AL, CCN 011025 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Dec 23, 2015
Dec 23, 2015
Chambers Quality Health CareLanett, AL, CCN 011036 Federally qualified health center 5% Or Greater Direct Ownership Interest
Operational/Managerial Control (100%)		 Jul 14, 2017
Jul 14, 2017

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271635200000",
    "number": "1023069416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359020097",
            "telephone_number": "256-492-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N 6TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359013244",
            "telephone_number": "256-492-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY OF LIFE HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2010-04-19",
        "status": "A",
        "authorized_official_last_name": "ROWE",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-492-0131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRO-CARE COLLEY HOMES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.