NPIMap

Organization Active NPI

Queen's Quality Care, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Deltona, FL
National Provider Identifier
1629677265
Registry record updated Oct 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
QUEEN'S QUALITY CARE, LLC
Practice address
1173 Ring St
Deltona, FL 32725-3615
Phone
(407) 879-3912
NPI assigned
Oct 24, 2020
Last updated
Oct 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2020

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

Authorized official

Name
Ms. Khadijah Magee, RN
Title
Owner
Phone
(407) 879-3912

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X
Health Service Clinic/Center 261QH0100X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

1173 Ring St
Deltona, FL 32725-3615

Mailing address

1173 Ring St
Deltona, FL 32725-3615
Phone (407) 879-3912

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1603497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603497600000",
    "number": "1629677265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1173 RING ST",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327253615",
            "telephone_number": "407-879-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1173 RING ST",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327253615",
            "telephone_number": "407-879-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN'S QUALITY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-24",
        "last_updated": "2020-10-24",
        "certification_date": "2020-10-24",
        "status": "A",
        "authorized_official_last_name": "MAGEE",
        "authorized_official_first_name": "KHADIJAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-879-3912",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deltona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.