MEDICARE: QUALITY HOME HEALTHCARE INC

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	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	07107	NC
2	332BX2000X	Oxygen Equipment & Supplies (DME)	07107	NC
3	332B00000X	Durable Medical Equipment & Medical Supplies	07107	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0475H	OTHER	NC	BLUE CROSS & BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083698823
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY HOME HEALTHCARE INC

Provider Business Mailing Address
First Line	:	106 PARK AVE
Second Line	:
City	:	SANFORD
State	:	NC
Zip	:	27330-4027
Country	:	US
Telephone Number	:	919-775-2001
Fax Number	:	919-776-8122

Provider Business Practice Location Address
First Line	:	106 PARK AVE
Second Line	:
City	:	SANFORD
State	:	NC
Zip	:	27330-4027
Country	:	US
Telephone Number	:	919-775-2001
Fax Number	:	919-776-8122

Authorized Official
Title or Position	:	VICE PRESIDENT/CEO
Name	:	KENNETH A FRIEND
Credential	:
Telephone Number	:	919-775-2001

Provider Enumeration Date	:	12/05/2005
Last Update Date	:	11/23/2021

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Directions to “QUALITY HOME HEALTHCARE INC ” Practice Location

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