Quality Life Residence Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

QUALITY LIFE RESIDENCE INC.

Practice address

825 Freeman St
Brooklyn, MD 21225-1925

Phone

(855) 831-9133

Fax

(855) 831-9133

NPI assigned

Mar 27, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Jamie L Rogers

Title

President

Phone

(855) 831-9133

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585267200000",
    "number": "1437787355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 RXR PLZ",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115560626",
            "telephone_number": "855-831-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 FREEMAN ST",
            "city": "BROOKLYN",
            "state": "MD",
            "postal_code": "212251925",
            "telephone_number": "855-831-9133",
            "fax_number": "855-831-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY LIFE RESIDENCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "855-831-9133",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05594936",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Brooklyn, MD
• Providers in Brooklyn, MD by specialty
• Assisted Living Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.