Organization Active NPI

Quality of Life Specialists, LLC

  • In Home Supportive Care Agency
  • Avondale, AZ
National Provider Identifier
1356198550
Registry record updated Jun 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
QUALITY OF LIFE SPECIALISTS, LLC
Practice address
1814 S 114TH Dr
Avondale, AZ 85323-8274
Phone
(623) 806-0751
NPI assigned
May 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2024

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

Authorized official

Name
Kim Lewis
Title
Owner-Coo
Phone
(623) 806-0751

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Private Vehicle 347C00000X
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X
Respite Care 385H00000X

Addresses

Primary practice location

1814 S 114TH Dr
Avondale, AZ 85323-8274

Mailing address

1814 S 114TH Dr
Avondale, AZ 85323-8274
Phone (623) 806-0751

Other names 1

  • QOLS Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717200000000",
    "number": "1356198550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 S 114TH DR",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853238274",
            "telephone_number": "623-806-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 S 114TH DR",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853238274",
            "telephone_number": "623-806-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY OF LIFE SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-04",
        "last_updated": "2024-06-01",
        "certification_date": "2024-06-01",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER-COO",
        "authorized_official_telephone_number": "623-806-0751"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QOLS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2024; 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.