Quality Care Management of N Central Florida,LLC

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

QUALITY CARE MANAGEMENT OF N CENTRAL FLORIDA,LLC

Practice address

613 Saint Johns Ave
Suite # 209
Palatka, FL 32177-4643

Phone

(386) 325-0314

Fax

(386) 325-0137

NPI assigned

Jun 13, 2006

Last updated

Aug 22, 2020By 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

Mrs. Lolether Elester Crooms, LPN

Title

Asst. Administrator

Phone

(386) 325-0314

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225071996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 SAINT JOHNS AVE",
            "address_2": "SUITE 209",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321774643",
            "telephone_number": "386-325-0314",
            "fax_number": "386-325-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 SAINT JOHNS AVE",
            "address_2": "SUITE # 209",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321774643",
            "telephone_number": "386-325-0314",
            "fax_number": "386-325-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CARE MANAGEMENT OF N CENTRAL FLORIDA,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CROOMS",
        "authorized_official_first_name": "LOLETHER",
        "authorized_official_middle_name": "ELESTER",
        "authorized_official_title_or_position": "ASST. ADMINISTRATOR",
        "authorized_official_telephone_number": "386-325-0314",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cindie L Raybon, M.D.
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• John Henry Redlitz, PT

• Home Health Registered Nurse in Palatka, FL
• Providers in Palatka, FL by specialty
• Home Health Registered Nurse in Florida

• 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.