Active NPI
Quality Care Services LLC
- In Home Supportive Care Agency
- East Prairie, MO
National Provider Identifier
1295081735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 0010768
- Legal business name
- QUALITY CARE SERVICES LLC
- Practice address
- 215 E Main St
East Prairie, MO 63845-1123 - Phone
- (573) 649-9082
- Fax
- (573) 649-9626
- NPI assigned
- Aug 2, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cathy Ann Jackson
- Title
- Owner/RN
- Phone
- (573) 649-9082
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 0010768 | MO | Primary |
| In Home Supportive Care Agency | 253Z00000X | 0011310 | MO |
Addresses
Primary practice location
215 E Main St
East Prairie, MO 63845-1123
Mailing address
215 E Main St
East Prairie, MO 63845-1123
Phone (573) 649-9082
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902191471 | Medicaid | MO |
National Provider Directory
National Provider DirectoryLocations
215 E Main St
East Prairie, MO 63845
Phone (573) 649-9082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343865600000",
"number": "1295081735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 E MAIN ST",
"city": "EAST PRAIRIE",
"state": "MO",
"postal_code": "638451123",
"telephone_number": "573-649-9082",
"fax_number": "573-649-9626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 E MAIN ST",
"city": "EAST PRAIRIE",
"state": "MO",
"postal_code": "638451123",
"telephone_number": "573-649-9082",
"fax_number": "573-649-9626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUALITY CARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-02",
"last_updated": "2012-08-02",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "CATHY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER/RN",
"authorized_official_telephone_number": "573-649-9082",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "MO",
"license": "0010768",
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "MO",
"license": "0011310",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1902191471",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Prairie, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.