Quality Health Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

R4080 Issued in MD

Legal business name

QUALITY HEALTH SERVICES LLC

Doing business as

Quality HealthCare LLC.

Practice address

15413 Pocopson Creek Way
Brandywine, MD 20613-6242

Phone

(301) 265-6786

Fax

(301) 328-2116

NPI assigned

Jun 29, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Tracy U Ejim

Title

Business Owner

Phone

(301) 265-6786

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Quality HealthCare LLC. Doing business as

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1366893471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15413 POCOPSON CREEK WAY",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206136242",
            "telephone_number": "301-265-6786",
            "fax_number": "301-328-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15413 POCOPSON CREEK WAY",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206136242",
            "telephone_number": "301-265-6786",
            "fax_number": "301-328-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "EJIM",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "301-265-6786",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R4080",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R4025",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8000549-00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality HealthCare LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Brandywine, MD
• Providers in Brandywine, MD by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.