Active NPI
Quality of Life Specialists, LLC
- In Home Supportive Care Agency
- Avondale, AZ
National Provider Identifier
1356198550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Private Vehicle | 347C00000X | |||
| Adult Companion | 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
National Provider Directory
National Provider DirectoryPractitioners & 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.