Quality Lifestyle Service Inc

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

C-27A Issued in TN

Legal business name

QUALITY LIFESTYLE SERVICE INC

Doing business as

Quality Lifestyle Service Inc Adult Day Center

Practice address

5102 Hwy 58
Suite 4
Chattanooga, TN 37416-1646

Phone

(423) 386-5714

Fax

(423) 386-5716

NPI assigned

Aug 29, 2008

Last updated

Feb 6, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

QUALITY LIFESTYLE SERVICE INC ADULT DAY CENTERAs reported in NPPES

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

Authorized official

Name

Mrs. Ursula Deshawn Dial

Title

Director/Administrator

Phone

(423) 386-5714

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Quality Lifestyle Service Inc Adult Day Center Doing business as

Tax ID family

Quality Lifestyle Service Inc2 organizations share this tax ID, including this one

Part of

Quality Lifestyle Service Inc

Other organizations with this tax ID 1

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

• Quality Lifestyle Service, Inc.

  • Adult Care Home Facility
  • Chattanooga, TN
  • NPI 1952022568
  NPD tax ID

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233878400000",
    "number": "1811145030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5102 HWY 58",
            "address_2": "STE 4",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374161646",
            "telephone_number": "423-386-5714",
            "fax_number": "423-386-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5102 HWY 58",
            "address_2": "SUITE 4",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374161646",
            "telephone_number": "423-386-5714",
            "fax_number": "423-386-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY LIFESTYLE SERVICE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUALITY LIFESTYLE SERVICE INC ADULT DAY CENTER",
        "enumeration_date": "2008-08-29",
        "last_updated": "2009-02-06",
        "status": "A",
        "authorized_official_last_name": "DIAL",
        "authorized_official_first_name": "URSULA",
        "authorized_official_middle_name": "DESHAWN",
        "authorized_official_title_or_position": "DIRECTOR/ADMINISTRATOR",
        "authorized_official_telephone_number": "423-386-5714",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "TN",
            "license": "21T",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "TN",
            "license": "C219-058-9914",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "TN",
            "license": "C219-058-9913",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TN",
            "license": "C-27A",
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "TN",
            "license": "C-27A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445199",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality Lifestyle Service Inc Adult Day Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Poonam Puri, MD
• Adarsh John Purohith, DO
• Brandi Nicole Pursley, M.ED, LPC-MHSP
• Erika V Puzanov, APRN
• Quality Healthcare Resources LLC (Palliative Community Resources)
• Quality Lifestyle Service, Inc.
• Hanaria Qualls, OT
• Khristen Noel Qualls, APN
• Steven D Quarfordt, MD
• Crystal Quarles

• Non-emergency Medical Transport (VAN) in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Non-emergency Medical Transport (VAN) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; 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.