Quality Care Support Services 51, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

MC772.325-4 Issued in FL

Legal business name

QUALITY CARE SUPPORT SERVICES 51, INC

Practice address

2121 Corporate Square Blvd
Suite 120
Jacksonville, FL 32216-0309

Phone

(904) 725-2367

Fax

(904) 725-2364

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Gail H Clark-Jinks

Title

President

Phone

(904) 725-2367

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487860441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 CORPORATE SQUARE BLVD",
            "address_2": "SUITE 120",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160309",
            "telephone_number": "904-725-2367",
            "fax_number": "904-725-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 CORPORATE SQUARE BLVD",
            "address_2": "SUITE 120",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160309",
            "telephone_number": "904-725-2367",
            "fax_number": "904-725-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CARE SUPPORT SERVICES 51, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK-JINKS",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-725-2367",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "MC772.325-4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.