Qualified Health Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

QUALIFIED HEALTH HOME CARE, LLC

Doing business as

Qualified Health

Practice address

156 Drew Cir
Brunswick, GA 31525-1036

Phone

(912) 996-3885

Fax

(912) 261-2693

NPI assigned

Jul 5, 2011

Last updated

Feb 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sharie Bailey

Title

Owner/Administrator

Phone

(912) 996-3885

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Qualified Health Doing business as

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1174810733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 DREW CIR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315251036",
            "telephone_number": "912-996-3885",
            "fax_number": "912-261-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 DREW CIR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315251036",
            "telephone_number": "912-996-3885",
            "fax_number": "912-261-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALIFIED HEALTH HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-05",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "SHARIE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "912-996-3885"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "OCH13737",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Qualified Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Qualified Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Brunswick, GA
• Providers in Brunswick, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.