Quality Care Coordination LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

QUALITY CARE COORDINATION LLC

Practice address

1625 Hoffnagle St Apt B3
Philadelphia, PA 19152-2248

Phone

(267) 838-4776

Fax

(215) 893-4386

NPI assigned

Oct 21, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Erica Lauren Colon

Title

Executive Director

Phone

(267) 838-4776

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1540080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540080000000",
    "number": "1033685771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 HOFFNAGLE ST APT B3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522248",
            "telephone_number": "267-838-4776",
            "fax_number": "215-893-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 HOFFNAGLE ST APT B3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522248",
            "telephone_number": "267-838-4776",
            "fax_number": "215-893-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CARE COORDINATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-21",
        "last_updated": "2018-10-21",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "LAUREN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "267-838-4776",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103515007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Case Management Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2018; 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.