Organization Active NPI

Quad Nurse LLC

  • Attendant Care Provider
  • Ocala, FL
National Provider Identifier
1356772982
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
Legal business name
QUAD NURSE LLC
Practice address
2647 NE 3Rd St
Ocala, FL 34470-7048
Phone
(352) 484-0296
Fax
(352) 577-0554
NPI assigned
Dec 8, 2013
Last updated
Sep 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Authorized official

Name
Mr. Marcus Alexander Sr.NPI 1386895449
Title
Administrator
Phone
(352) 816-7353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care ProviderGroup: 193400000X SINGLE SPECIALTY GROUP 3747A0650X Primary

Addresses

Primary practice location

2647 NE 3Rd St
Ocala, FL 34470-7048

Mailing address

2647 NE 3Rd St
Ocala, FL 34470-7048
Phone (352) 484-0296

Other identifiers 2

IdentifierTypeStateIssuer
101855700MedicaidFL
009033400MedicaidFL

National Provider Directory

National Provider Directory

Locations

2647 NE 3rd St
Ocala, FL 34470
Phone (352) 484-0296

405 SE Osceola Ave
Unit 109
Ocala, FL 34471

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1386460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1356772982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2647 NE 3RD ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344707048",
            "telephone_number": "352-484-0296",
            "fax_number": "352-577-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2647 NE 3RD ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344707048",
            "telephone_number": "352-484-0296",
            "fax_number": "352-577-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAD NURSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-08",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-816-7353",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101855700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009033400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.