Organization Active NPI

Quality Personal Care

  • Community Based Hospice Care Agency
  • Winston Salem, NC
National Provider Identifier
1215093141
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HC2210 Issued in NC
Legal business name
QUALITY PERSONAL CARE
Practice address
301 N Main St
Suite 2501
Winston Salem, NC 27101-3836
Phone
(336) 397-0099
Fax
(336) 397-0097
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michille McLain
Title
Director
Phone
(336) 397-0099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HC2210 NC Primary

Addresses

Primary practice location

301 N Main St
Suite 2501
Winston Salem, NC 27101-3836

Mailing address

301 N Main St
Suite 2501
Winston Salem, NC 27101-3836
Phone (336) 397-0099

Other identifiers 1

IdentifierTypeStateIssuer
3409252MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215093141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N MAIN ST",
            "address_2": "SUITE 2501",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013836",
            "telephone_number": "336-397-0099",
            "fax_number": "336-397-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N MAIN ST",
            "address_2": "SUITE 2501",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013836",
            "telephone_number": "336-397-0099",
            "fax_number": "336-397-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY PERSONAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCLAIN",
        "authorized_official_first_name": "MICHILLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-397-0099"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NC",
            "license": "HC2210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409252",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.