NPIMap

Organization Active NPI

Qualicare Healthcare Services LLC

  • Home Health Agency
  • Bowie, MD
National Provider Identifier
1285201681
Registry record updated Jun 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
QUALICARE HEALTHCARE SERVICES LLC
Practice address
1205 Ashleigh Station CT
Bowie, MD 20721-6005
Phone
(469) 735-3434
NPI assigned
Jun 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2021

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

Authorized official

Name
Mrs. Joyce Camellita Nkem, LPN
Title
Administration
Phone
(124) 039-9447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1205 Ashleigh Station CT
Bowie, MD 20721-6005

Mailing address

1205 Ashleigh Station CT
Bowie, MD 20721-6005
Phone (469) 735-3434

Other names 1

  • Qualicare Healthcare Services Llc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1622851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622851200000",
    "number": "1285201681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 ASHLEIGH STATION CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207216005",
            "telephone_number": "469-735-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 ASHLEIGH STATION CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207216005",
            "telephone_number": "469-735-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALICARE HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-05",
        "last_updated": "2021-06-05",
        "certification_date": "2021-06-05",
        "status": "A",
        "authorized_official_last_name": "NKEM",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "CAMELLITA",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "124-039-9447",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Qualicare Healthcare Services Llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.