NPIMap

Organization Active NPI

Quality of Life Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Lafayette, AL
National Provider Identifier
1780123372
Registry record updated Feb 16, 2017
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
Practice address
404 9TH Ave SW
Lafayette, AL 36862-2806
Phone
(256) 492-0131
NPI assigned
Feb 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Mr. Wayne C 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

404 9TH Ave SW
Lafayette, AL 36862-2806

Mailing address

PO Box 97
Gadsden, AL 35902-0097

Other names 1

  • CHAMBERS 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…
O20170714002522 AL Part A Provider - Federally Qualified Health Center (FQHC) 7810890902 Practice locations: Lanett, AL

Federally qualified health center certification: CCN 011036

Legal name
QUALITY OF LIFE HEALTH SERVICES INC
Doing business as
CHAMBERS QUALITY HEALTH CARE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 14, 2017
Last certification
Jul 14, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 1, 1977 in AL
Enrollment address
34 Veterans Memorial Pkwy
Lanett, AL 36863-2840

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

National Provider Directory

National Provider Directory
Tax ID family
R O Watts Clinic30 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

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
Wayne C Rowe Individual Corporate DirectorCeo Jul 14, 2017 100%
W-2 Managing EmployeeCeo Jul 14, 2017 100%
Urick Wright Individual Corporate DirectorBoard Member Aug 20, 2020
Jean M Ward Individual Corporate DirectorBoard Treasurer Nov 30, 1989
Tonia Rosser Individual Corporate DirectorBoard Member Jul 16, 2020
Christopher a Reynolds Individual Corporate DirectorBoard Vice President Jul 18, 2013
Kristie L Cornelious Individual Corporate DirectorBoard Member Jan 19, 2017
Muhammad Kamran Individual Corporate DirectorBoard Member Nov 21, 2019
Johnjalene E Woods Individual Corporate DirectorBoard Member Sep 21, 2017
Quality of Life Health Services Inc Organization, Gadsden, AL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 14, 2017
Operational/Managerial Control Jul 14, 2017 100%
Dante a Whittaker Individual Corporate DirectorBoard President Feb 17, 2005
Patricia Deramus Individual Corporate DirectorBoard Vice President Apr 16, 2009
Duane a Reddick Individual Corporate DirectorBoard Treasurer Sep 21, 2017
Cecilia Cruz-Zanzig Individual Corporate DirectorBoard Secretary Jun 26, 2015

Owners & managing parties with NPI records 23

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

View all 23

All facility ownership & control disclosures 7

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

Owned or controlled facilities with NPI records 7

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

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 44

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1780123372",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 9TH AVE SW",
            "city": "LAFAYETTE",
            "state": "AL",
            "postal_code": "368622806",
            "telephone_number": "256-492-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY OF LIFE HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "ROWE",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-492-0131",
        "authorized_official_name_prefix": "Mr.",
        "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": "CHAMBERS QUALITY HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, AL

Sources for this page

Verify at the official NPI Registry.