MEDICARE: FIRST QUALITY HEALTHCARE HOSPICE SERVICES 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	251G00000X	Community Based Hospice Care Agency		GA

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	:	1285727362
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST QUALITY HEALTHCARE HOSPICE SERVICES INC

Provider Business Mailing Address
First Line	:	3915 CASCADE RD SW
Second Line	:	SUITE 105
City	:	ATLANTA
State	:	GA
Zip	:	30331-8512
Country	:	US
Telephone Number	:	404-696-4126
Fax Number	:	404-696-1429

Provider Business Practice Location Address
First Line	:	3915 CASCADE RD SW
Second Line	:	SUITE 105
City	:	ATLANTA
State	:	GA
Zip	:	30331-8512
Country	:	US
Telephone Number	:	404-696-4126
Fax Number	:	404-696-1429

Authorized Official
Title or Position	:	CEO
Name	:	ERROL TOMLINSON
Credential	:
Telephone Number	:	404-696-4126

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	03/28/2011

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