MEDICARE: QUALITY LIVING HOMES LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	253Z00000X	In Home Supportive Care Agency
2	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility
3	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1902659964
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY LIVING HOMES LLC

Provider Business Mailing Address
First Line	:	110 NOTTINGHAM DR
Second Line	:
City	:	COLONIAL HEIGHTS
State	:	VA
Zip	:	23834-1134
Country	:	US
Telephone Number	:	646-406-5320
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 NOTTINGHAM DR
Second Line	:
City	:	COLONIAL HEIGHTS
State	:	VA
Zip	:	23834-1134
Country	:	US
Telephone Number	:	646-406-5320
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SHAMEEKA DOWLING
Credential	:
Telephone Number	:	646-406-5320

Provider Enumeration Date	:	04/09/2024
Last Update Date	:	05/08/2025

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