Quality Life Care, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

QUALITY LIFE CARE, LLC

Practice address

200 Short St
Williamsport, IN 47993-1031

Phone

(765) 762-6111

Fax

(765) 762-8644

NPI assigned

Sep 12, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Terrance Flannery

Title

Owner

Phone

(317) 984-1620

Specialties & licenses 1

Addresses

Other names 1

• Williamsport Health and Rehabilitation Ctr. Doing business as

Locations

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659366151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SHORT ST",
            "city": "WILLIAMSPORT",
            "state": "IN",
            "postal_code": "479931031",
            "telephone_number": "765-762-6111",
            "fax_number": "765-762-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SHORT ST",
            "city": "WILLIAMSPORT",
            "state": "IN",
            "postal_code": "479931031",
            "telephone_number": "765-762-6111",
            "fax_number": "765-762-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY LIFE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLANNERY",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-984-1620",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williamsport Health and Rehabilitation Ctr.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Williamsport, IN
• Providers in Williamsport, IN by specialty
• Skilled Nursing Facility in Indiana

• 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.