Organization Active NPI

Quality Care Nursing Service, Inc.

  • Home Health Agency
  • South Point, OH
National Provider Identifier
1306950720
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
36D0941271 Issued in OH
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

Updated by the provider on Jun 19, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
PartnershipProprietary
Incorporated
Jul 27, 1995 in OH
Enrollment address
501 Washington Street
Ste 13
South Point, OH 45680
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Quality Care Nursing ServicesCCN 367733
Ownership
Proprietary
Certified
Feb 14, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0941271Quality Care Nursing Services Inc501 Washington St Ste 13, South Point, OH 45680Certificate of waiverFeb 22, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
James Carver Individual 5% Or Greater Direct Ownership Interest Feb 1, 1998 25%
Douglas Freeman Individual 5% Or Greater Direct Ownership Interest Jul 27, 1995 75%
Operational/Managerial ControlCeo 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

Verify at the official NPI Registry.