QLS Monongahela LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

QLS MONONGAHELA LLC

Doing business as

Quality Life Services - Monongahela

Practice address

1277 Country Club Rd
Monongahela, PA 15063-1057

Phone

(724) 431-0770

NPI assigned

Dec 27, 2017

Last updated

Dec 27, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

TACK LEASE HOLDINGS LPAs reported in NPPES

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

Authorized official

Name

Dean Rippee

Title

Cfo

Phone

(724) 431-0770

Specialties & licenses 1

Addresses

Other names 1

• Quality Life Services - Monongahela Doing business as

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1780190892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 N MAIN ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014363",
            "telephone_number": "724-431-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1277 COUNTRY CLUB RD",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150631057",
            "telephone_number": "724-431-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QLS MONONGAHELA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TACK LEASE HOLDINGS LP",
        "enumeration_date": "2017-12-27",
        "last_updated": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "RIPPEE",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "724-431-0770"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality Life Services - Monongahela",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Renee Polinski, CRNP
• Julie Ann Pollack, RPH
• Amanda Dawn Pollock, DPT
• Lori Prendergast, CRNP
• Michael Putignano
• Quality Home Health Services, LLC
• Joel F Rach, MD
• Valerie Radic, PT
• Sherri L Rafalko, CRNP
• Sarah Raafat Rafla, MD

• Skilled Nursing Facility in Monongahela, PA
• Providers in Monongahela, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; 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.