Organization Active NPI

Quality Home Care Proffesionals

  • Nursing Care Agency
  • Orlando, FL
National Provider Identifier
1164963674
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
QUALITY HOME CARE PROFFESIONALS
Practice address
6001 Silver Star Rd Ste 2
Orlando, FL 32808-8219
Phone
(888) 897-7427
Fax
(407) 255-7803
NPI assigned
Mar 16, 2017
Last updated
Oct 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Authorized official

Name
Martha Khama
Title
Director
Phone
(267) 231-1817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X NU Primary

Addresses

Primary practice location

6001 Silver Star Rd Ste 2
Orlando, FL 32808-8219

Mailing address

6001 Silver Star Rd Ste 3
Orlando, FL 32808-8219
Phone (267) 231-1817

Other practice location 1

340 S Woodland Blvd
Deland, FL 32720-5854
Phone (267) 231-1817

Other practice location 2

1450 Halsey Way Ste 108
Carrollton, TX 75007-4467
Phone (267) 231-1817

Other identifiers 2

IdentifierTypeStateIssuer
4239428-01MedicaidTX
022760500MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL DEBARY Direct

National Provider Directory

National Provider Directory

Locations

340 S Woodland Blvd
Deland, FL 32720
Phone (267) 231-1817

6001 Silver Star Rd
Ste 2
Orlando, FL 32808
Phone (888) 897-7427

6001 Silver Star Rd
Ste 3
Orlando, FL 32808
Phone (407) 290-9230

1450 Halsey Way
Ste 108
Carrollton, TX 75007
Phone (267) 231-1817

NPI Registry JSON

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1164963674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 SILVER STAR RD STE 3",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328088219",
            "telephone_number": "267-231-1817",
            "fax_number": "407-255-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 SILVER STAR RD STE 2",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328088219",
            "telephone_number": "888-897-7427",
            "fax_number": "407-255-7803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 S Woodland Blvd",
            "address_purpose": "LOCATION",
            "city": "Deland",
            "state": "FL",
            "postal_code": "327205854",
            "country_code": "US",
            "telephone_number": "267-231-1817",
            "fax_number": "407-255-8684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1450 Halsey Way Ste 108",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750074467",
            "country_code": "US",
            "telephone_number": "267-231-1817",
            "fax_number": "407-255-7803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "QUALITY HOME CARE PROFFESIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-16",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "KHAMA",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "267-231-1817"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4239428-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022760500",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DEBARY",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "DEBARY",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "DEBARY",
            "address_1": "58 Spring Glen Dr",
            "city": "Debary",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327132509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.