NPIMap

Organization Active NPI

Quality of Life Health Services, Inc

Doing business as Tuskegee Quality Health Care

  • Federally Qualified Health Center (FQHC)
  • Tuskegee, AL
National Provider Identifier
1770929028
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
QUALITY OF LIFE HEALTH SERVICES, INC
Doing business as
Tuskegee Quality Health Care
Practice address
1201 Notasulga Road
Tuskegee, AL 36083-7115
Phone
(334) 727-7211
NPI assigned
May 14, 2013
Last updated
Aug 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Authorized official

Name
Wayne Rowe, MPA
Title
Ceo
Phone
(256) 492-0131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1201 Notasulga Road
Tuskegee, AL 36083-7115

Mailing address

PO Box 97
Gadsden, AL 35902-0097
Phone (256) 492-0131

Other names 1

  • TUSKEGEE QUALITY HEALTH CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040324000006 AL Part B Supplier - Clinic/Group Practice 7810890902 Receives reassigned benefits from 125 practitioners
22 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Heflin, AL; Horton, AL; Lafayette, AL; Lanett, AL; Oneonta, AL; Phenix City, AL; Sardis City, AL; Talladega, AL…
O20130712000617 AL Part A Provider - Federally Qualified Health Center (FQHC) 7810890902 Practice locations: Tuskegee, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770929028. Details of each certification follow.

Federally qualified health center certification: CCN 011006

Legal name
QUALITY OF LIFE HEALTH SERVICES INC
Doing business as
TUSKEGEE QUALITY HEALTH CARE
Organization structure
CorporationNon-profit
Incorporated
Nov 1, 1977 in AL
Enrollment address
1201 Notasulga Rd
Tuskegee, AL 36083-7115

Other NPIs with the same Medicare PAC ID 22

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 22

Other NPIs on the same Medicare enrollment 22

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 22

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2058323Tuskegee Quality Health Care1201 Notasulga Road, Tuskegee, AL 36083Certificate of waiverMay 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
Canterberry Family Prac30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

Locations

1411 Piedmont Cutoff
Gadsden, AL 35903
Phone (205) 492-0131

502 N 27th St
Gadsden, AL 35904
Phone (256) 546-0073

110 Spring St N
Talladega, AL 35160
Phone (256) 315-1697

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Teresa Clanton Individual Corporate OfficerBoard Member Jun 23, 2023
Wayne C Rowe Individual Corporate DirectorCeo Jun 26, 2016 100%
W-2 Managing EmployeeCeo Jun 26, 2016 100%
Urick Wright Individual Corporate OfficerBoard Member Aug 20, 2020
Tonia Rosser Individual Corporate OfficerBoard Member Jul 16, 2020
Christopher a Reynolds Individual Corporate OfficerBoard Vice President Jul 18, 2013
Kristie L Cornelious Individual Corporate OfficerBoard Member Jan 19, 2017
Tarva N Vaughn Individual Corporate OfficerBoard Member Jun 21, 2024
Dante a Whittaker Individual Corporate OfficerBoard President Feb 17, 2005
Veronica Rawls Individual Corporate OfficerBoard Member Jun 24, 2022
Emily McClain Individual Corporate OfficerBoard Member May 19, 2022
Duane a Reddick Individual Corporate OfficerBoard Treasurer Sep 21, 2017
Malavika K Shah Individual Corporate OfficerBoard Member Jun 21, 2024
Cecilia Cruz-Zanzig Individual Corporate OfficerBoard Secretary Jun 26, 2015

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Blount County Quality Health CareOneonta, AL, CCN 011947 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 19, 2008
Douglas Medical CenterHorton, AL, CCN 011957 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Dec 10, 2009
Dec 10, 2009
Dekalb Quality Health CareGeraldine, AL, CCN 011962 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Sep 1, 2011
Sep 1, 2011
Wadley Cornerstone ClinicWadley, AL, CCN 011963 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Dec 21, 2009
Dec 21, 2009
Procare Colley HomesGadsden, AL, CCN 011874 Federally qualified health center 5% Or Greater Direct Ownership Interest Jun 16, 1994
Calhoun Quality Health CareAnniston, AL, CCN 011010 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Mar 10, 2014
Susie E Allen Health CenterPhenix City, AL, CCN 011025 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Dec 23, 2015
Dec 23, 2015
Chambers Quality Health CareLanett, AL, CCN 011036 Federally qualified health center 5% Or Greater Direct Ownership Interest
Operational/Managerial Control (100%)		 Jul 14, 2017
Jul 14, 2017

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 12

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": "1368489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1770929028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359020097",
            "telephone_number": "256-492-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NOTASULGA ROAD",
            "city": "TUSKEGEE",
            "state": "AL",
            "postal_code": "360837115",
            "telephone_number": "334-727-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY OF LIFE HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-14",
        "last_updated": "2016-08-05",
        "status": "A",
        "authorized_official_last_name": "ROWE",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-492-0131",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TUSKEGEE QUALITY HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tuskegee, AL

Sources for this page

Verify at the official NPI Registry.