MEDICARE: QUALITY ASSURANCE STAFFING 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	251E00000X	Home Health Agency	1023	WI

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	:	1386792786
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY ASSURANCE STAFFING INC.

Provider Business Mailing Address
First Line	:	5678 W BROWN DEER RD STE 200
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53223-2365
Country	:	US
Telephone Number	:	414-362-0362
Fax Number	:	414-362-0313

Provider Business Practice Location Address
First Line	:	5678 W BROWN DEER RD STE 200
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53223-2365
Country	:	US
Telephone Number	:	414-362-0362
Fax Number	:	414-362-0313

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JAMES ARYEETEY
Credential	:
Telephone Number	:	414-362-0362

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	12/07/2011

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