MEDICARE: QUALITY FAMILY CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	30211272	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023492261
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY FAMILY CARE LLC

Provider Business Mailing Address
First Line	:	7500 S DIXIE HWY
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33405-4814
Country	:	US
Telephone Number	:	561-242-9450
Fax Number	:	561-240-9454

Provider Business Practice Location Address
First Line	:	7500 S DIXIE HWY
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33405-4814
Country	:	US
Telephone Number	:	561-242-9450
Fax Number	:	561-242-9454

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. JESSENIA VELEZ
Credential	:
Telephone Number	:	561-242-9450

Provider Enumeration Date	:	07/17/2015
Last Update Date	:	07/17/2015

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Directions to “QUALITY FAMILY CARE LLC ” Practice Location

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