Organization Active NPI

Quality Care Services LLC

  • In Home Supportive Care Agency
  • East Prairie, MO
National Provider Identifier
1295081735
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
0010768 Issued in MO
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

Updated by the provider on Aug 2, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1902191471MedicaidMO

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.