Organization Active NPI

Qualis Home Health Services, LLC

  • Home Health Agency
  • Woodbridge, VA
National Provider Identifier
1639685001
Registry record updated Jul 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
QUALIS HOME HEALTH SERVICES, LLC
Practice address
1810 Reddy Dr # 5370
Woodbridge, VA 22191-3410
Phone
(800) 296-3458
NPI assigned
Dec 21, 2017
Last updated
Jul 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2021

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

Authorized official

Name
Dr. Zakevia Denise GreenNPI 1558956623
Title
Ceo & President
Phone
(800) 296-3458

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

1810 Reddy Dr # 5370
Woodbridge, VA 22191-3410

Mailing address

1810 Reddy Dr # 5370
Woodbridge, VA 22191-3410

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625356800000",
    "number": "1639685001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 REDDY DR # 5370",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 REDDY DR # 5370",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913410",
            "telephone_number": "800-296-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALIS HOME HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-21",
        "last_updated": "2021-07-04",
        "certification_date": "2021-07-04",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "ZAKEVIA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "800-296-3458",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2021; 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.