Active NPI
Quality Care Nursing Service, Inc.
- Home Health Agency
- South Point, OH
National Provider Identifier
1306950720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 36D0941271
- Legal business name
- QUALITY CARE NURSING SERVICE, INC.
- Practice address
- 501 Washington St
Suite 13
South Point, OH 45680-9604 - Phone
- (740) 377-9095
- Fax
- (740) 377-9593
- NPI assigned
- Aug 19, 2006
- 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
- Mr. Douglas J Freeman
- Title
- Ceo
- Phone
- (740) 377-9095
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 36D0941271 | OH | Primary |
| Home Health Agency | 251E00000X |
Addresses
Primary practice location
501 Washington St
Suite 13
South Point, OH 45680-9604
Mailing address
501 Washington St
Suite 13
South Point, OH 45680-9606
Phone (740) 377-9095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050512000176 | OH | Part A Provider - Home Health Agency | 4486694155 | Practice locations: South Point, OH |
Home health agency certification: CCN 367733
- Legal name
- QUALITY CARE NURSING SERVICE, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Feb 14, 1997
- Last certification
- Mar 5, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Partnership
- Incorporated
- Jul 27, 1995 in OH
- Enrollment address
- 501 Washington Street
Ste 13
South Point, OH 45680
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Quality Care Nursing Services
- Ownership
- Proprietary
- Certified
- Feb 14, 1997
- Medicare certification status
- Active
- Services
- Nursing, Home health aide
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0941271 | Quality Care Nursing Services Inc | Certificate of waiver | Feb 22, 2028 |
National Provider Directory
National Provider DirectoryLocations
392 Silver Bridge Plz
Gallipolis, OH 45631
Phone (740) 334-4958
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| James Carver | 5% Or Greater Direct Ownership Interest | Feb 1, 1998 | 25% |
| Douglas Freeman | 5% Or Greater Direct Ownership Interest | Jul 27, 1995 | 75% |
| Operational/Managerial Control | Jul 27, 1995 | 75% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718755200000",
"number": "1306950720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 WASHINGTON ST",
"address_2": "SUITE 13",
"city": "SOUTH POINT",
"state": "OH",
"postal_code": "456809606",
"telephone_number": "740-377-9095",
"fax_number": "740-377-9593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 WASHINGTON ST",
"address_2": "SUITE 13",
"city": "SOUTH POINT",
"state": "OH",
"postal_code": "456809604",
"telephone_number": "740-377-9095",
"fax_number": "740-377-9593"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUALITY CARE NURSING SERVICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-19",
"last_updated": "2024-06-19",
"certification_date": "2024-06-19",
"status": "A",
"authorized_official_last_name": "FREEMAN",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "740-377-9095",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": "36D0941271",
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Point, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.