Qualicare Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

014493 Issued in TX

Legal business name

QUALICARE HOME HEALTH LLC

Practice address

1800 Shiloh Rd
Suite 205
Tyler, TX 75703-2418

Phone

(214) 207-5867

Fax

(844) 250-2460

NPI assigned

Sep 15, 2011

Organization subpart

No

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

Authorized official

Name

Ogechi Cordice Eyi

Title

Vice President/Administrator

Phone

(214) 207-5867

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1518249507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SHILOH RD",
            "address_2": "SUITE 205",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757032418",
            "telephone_number": "214-207-5867",
            "fax_number": "844-250-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SHILOH RD",
            "address_2": "SUITE 205",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757032418",
            "telephone_number": "214-207-5867",
            "fax_number": "844-250-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALICARE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "EYI",
        "authorized_official_first_name": "OGECHI",
        "authorized_official_middle_name": "CORDICE",
        "authorized_official_title_or_position": "VICE PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "214-207-5867"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "014493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Tyler, TX
• Providers in Tyler, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.