NPIMap

Organization Active NPI

Quality of Life Health Services, Inc

  • Community Health Clinic/Center
  • Gadsden, AL
National Provider Identifier
1366492597
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
QUALITY OF LIFE HEALTH SERVICES, INC
Practice address
1020 Tuscaloosa Ave
Gadsden, AL 35901-3005
Phone
(256) 492-0131
NPI assigned
May 10, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Wayne Rowe
Title
Ceo
Phone
(256) 492-0131

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 22

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 22

Other NPIs with the same Medicare PAC ID 22

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 22

Facilities connected through Provider of Services related, parent or unit certification numbers.

Practitioners 44

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

View all 44

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
01D0679846Roberta O Watts Medical Center1020 Tuscaloosa Ave, Gadsden, AL 35901Certificate of waiverJan 31, 2027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Federally qualified health center certification: CCN 011813

Legal name
QUALITY OF LIFE HEALTH SERVICES INC
Doing business as
ROBERTA WATTS MEDICAL CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 1, 1977 in AL
Enrollment address
1020 Tuscaloosa Ave
Gadsden, AL 35901-3005

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040324000006 AL Part B Supplier - Clinic/Group Practice 7810890902 Receives reassigned benefits from 125 practitioners
22 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Heflin, AL; Horton, AL; Lafayette, AL; Lanett, AL; Oneonta, AL; Phenix City, AL; Sardis City, AL; Talladega, AL…
O20070421000033 AL Part a Provider - Federally Qualified Health Center (FQHC) 7810890902 Practice locations: Gadsden, AL

All disclosed owners & managing parties 12

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Wayne C Rowe Individual Corporate DirectorPresident/Ceo Nov 1, 2007 100%
W-2 Managing EmployeePresident/Ceo Nov 1, 2007 100%
Jean M Ward Individual Corporate DirectorBoard Treasurer Nov 30, 1989
Christopher a Reynolds Individual Corporate DirectorBoard Member Jul 18, 2013
Kristie L Cornelious Individual Corporate DirectorBoard Member Jan 19, 2017
Tarva N Vaughn Individual Corporate DirectorBoard Vice President Jan 9, 1996
Carolyn H Parker Individual Corporate DirectorBoard Member Jun 14, 2012
Johnjalene E Woods Individual Corporate DirectorBoard Member Sep 21, 2017
Dante a Whittaker Individual Corporate DirectorBoard Member Feb 17, 2005
Patricia Deramus Individual Corporate DirectorBoard Secretary Apr 16, 2009
Jodi D Leighton Individual Corporate DirectorBoard Member Dec 15, 2016
Duane a Reddick Individual Corporate DirectorBoard Member Sep 21, 2017
Cecilia Cruz-Zanzig Individual Corporate DirectorBoard Member Jun 26, 2015

All facility ownership & control disclosures 8

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Blount County Quality Health CareOneonta, AL, CCN 011947 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 19, 2008
Douglas Medical CenterHorton, AL, CCN 011957 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Dec 10, 2009
Dec 10, 2009
Dekalb Quality Health CareGeraldine, AL, CCN 011962 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Sep 1, 2011
Sep 1, 2011
Wadley Cornerstone ClinicWadley, AL, CCN 011963 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Dec 21, 2009
Dec 21, 2009
Procare Colley HomesGadsden, AL, CCN 011874 Federally qualified health center 5% Or Greater Direct Ownership Interest Jun 16, 1994
Calhoun Quality Health CareAnniston, AL, CCN 011010 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Mar 10, 2014
Susie E Allen Health CenterPhenix City, AL, CCN 011025 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Dec 23, 2015
Dec 23, 2015
Chambers Quality Health CareLanett, AL, CCN 011036 Federally qualified health center 5% Or Greater Direct Ownership Interest
Operational/Managerial Control (100%)		 Jul 14, 2017
Jul 14, 2017

National Provider Directory

National Provider Directory
Tax ID family
R O Watts Clinic30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

NPPES NPI Registry

Primary practice location

1020 Tuscaloosa Ave
Gadsden, AL 35901-3005

Mailing address

PO Box 97
Gadsden, AL 35902-0097
Phone (256) 492-0131

Other names 1

NPPES NPI Registry
  • Roberta O. Watts Neighborhood Health Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 1, 2008.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1366492597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359020097",
            "telephone_number": "256-492-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 TUSCALOOSA AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359013005",
            "telephone_number": "256-492-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY OF LIFE HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "ROWE",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-492-0131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roberta O. Watts Neighborhood Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.