Quality Life Management LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

QUALITY LIFE MANAGEMENT LLC

Practice address

815 W Adobe Dr
Deming, NM 88030-4465

Phone

(575) 546-0546

Fax

(575) 546-6024

NPI assigned

Sep 5, 2023

Organization subpart

No

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

Authorized official

Name

Bassam Homsi, MD

Title

Owner

Phone

(575) 544-5650

Specialties & licenses 1

Addresses

Other names 1

• Willow Manor Doing business as

Locations

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1487430658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 W ADOBE DR",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880304465",
            "telephone_number": "575-546-0546",
            "fax_number": "575-546-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 W ADOBE DR",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880304465",
            "telephone_number": "575-546-0546",
            "fax_number": "575-546-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY LIFE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "HOMSI",
        "authorized_official_first_name": "BASSAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-544-5650",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denise C Powell, CSFA
• Presbyterian Medical Services
• Presbyterian Medical Services
• Presbyterian Medical Services
• Presbyterian Medical Services Inc
• Kathy Quarrell, CPSW
• Blanca Ramos-Gaona
• Evangeline R Randall, OT
• April Redbird, LMSW
• Barbara L Reedy

• All providers in Deming, NM
• Assisted Living Facility in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.