Organization Active NPI

Quality Family Care LLC

  • Family Nurse Practitioner
  • Indianola, MS
National Provider Identifier
1083139505
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
QUALITY FAMILY CARE LLC
Practice address
310 Hwy 82 West, Suite D
Indianola, MS 38751
Phone
(662) 207-2552
NPI assigned
Aug 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Authorized official

Name
Rona Huey, FNP-CNPI 1992163588
Title
Ceo
Phone
(662) 445-2555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

310 Hwy 82 West, Suite D
Indianola, MS 38751

Mailing address

PO Box 608
Indianola, MS 38751-0608

Other identifiers 1

IdentifierTypeStateIssuer
01980582MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171128003163 MS Part B Supplier - Clinic/Group Practice 7214294354 Receives reassigned benefits from 1 practitioner
Practice locations: Indianola, MS

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
25D2138007Quality Family Care, LLC310 Hwy 82 West, Ste D, Indianola, MS 38751Certificate of waiverOct 8, 2027

National Provider Directory

National Provider Directory

Locations

310 Highway 82 W
Ste D
Indianola, MS 38751
Phone (662) 207-5972

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": "1501891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1083139505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 608",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387510608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 HWY 82 WEST, SUITE D",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "38751",
            "telephone_number": "662-207-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-05",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "HUEY",
        "authorized_official_first_name": "RONA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-445-2555",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01980582",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianola, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.