Quality Life Home Care, LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

QUALITY LIFE HOME CARE, LLC

Practice address

225 Madison Avenue
Mankato, MN 56001

Phone

(507) 327-3195

Fax

(507) 387-6186

NPI assigned

May 24, 2012

Organization subpart

No

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

Authorized official

Name

Matthew Louis Schroeder, BS

Title

Owner

Phone

(507) 327-3195

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1952661910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MADISON AVENUE",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "56001",
            "telephone_number": "507-327-3195",
            "fax_number": "507-387-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MADISON AVENUE",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "56001",
            "telephone_number": "507-327-3195",
            "fax_number": "507-387-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY LIFE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-24",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-327-3195",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA CLASS A LICENSE SKILLED NURSING SERVICES",
            "identifier": "360114",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary-Joy Pugh
• Kaitlyn Ann Pumper, RN, BSN
• Rachel Marie Pumper, R.N.
• Donald C Putzier, MD
• Gabrielle Pyan
• Katelyn Rose Quast
• Sandra Kaye Queen
• April Marie Quigley, PA-C
• Joan Dianne Quiram
• Veronica Elizabeth Radigan, M.D.

• Point of Service in Mankato, MN
• Providers in Mankato, MN by specialty
• Point of Service in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.