Organization Active NPI

Quality Homecare Services, LLC

  • In Home Supportive Care Agency
  • Fort Worth, TX
National Provider Identifier
1104501287
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
QUALITY HOMECARE SERVICES, LLC
Practice address
2305 Fairway Dr
Fort Worth, TX 76119-4513
Phone
(336) 944-3247
NPI assigned
Jun 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Authorized official

Name
Paw Oh Gay
Title
Owner
Phone
(336) 944-3247

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X

Addresses

Primary practice location

2305 Fairway Dr
Fort Worth, TX 76119-4513

Mailing address

2305 Fairway Dr
Fort Worth, TX 76119-4513
Phone (336) 944-3247

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1104501287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 FAIRWAY DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761194513",
            "telephone_number": "336-944-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 FAIRWAY DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761194513",
            "telephone_number": "336-944-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY HOMECARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "PAW",
        "authorized_official_middle_name": "OH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-944-3247"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.