MEDICARE: QUALITY LIFE HOME HEALTH AGENCY CORP

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	HHA299993507	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	109603	OTHER	FL	MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1912159963
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY LIFE HOME HEALTH AGENCY CORP

Provider Business Mailing Address
First Line	:	1443 DEL PRADO BLVD S STE D
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-3750
Country	:	US
Telephone Number	:	239-829-0814
Fax Number	:	239-829-0822

Provider Business Practice Location Address
First Line	:	1443 DEL PRADO BLVD S STE D
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-3750
Country	:	US
Telephone Number	:	239-829-0814
Fax Number	:	239-829-0822

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. ADDYS M. RUIZ
Credential	:
Telephone Number	:	239-829-0814

Provider Enumeration Date	:	10/21/2008
Last Update Date	:	12/07/2017

Similar Medicare Providers

1447710322 — IVONNE HERNANDEZ PUENTE
Practice Location Address:

1443 DEL PRADO BLVD S STE A
CAPE CORAL, FL
33990-3750

Practice Phone: 786-499-5815
Practice Fax:

1861345944 — IHPUENTE LLC
Practice Location Address:

1443 DEL PRADO BLVD S STE A
CAPE CORAL, FL
33990-3750

Practice Phone: 786-499-5815
Practice Fax:

1275856569 — ELENITA RIVERA CATALAN LMT
Practice Location Address:

1443 DEL PRADO BLVD S , ST# A
CAPE CORAL, FL
33990-3750

Practice Phone: 239-989-7258
Practice Fax:

1508360827 — GEOFFRY CARLO LMFT
Practice Location Address:

3750 TERRAPIN LN APT 122
CORAL SPRINGS, FL
33067-3107

Practice Phone: 954-242-9773
Practice Fax:

1891401824 — CHELSEA A LUCIEN
Practice Location Address:

3750 NW 109TH AVE
CORAL SPRINGS, FL
33065-2721

Practice Phone: 954-716-5008
Practice Fax:

1992796783 — DR. HEATHER L MORALES OD
Practice Location Address:

217 DEL PRADO BLVD S STE 101
CAPE CORAL, FL
33990-1743

Practice Phone: 239-573-3937
Practice Fax: 239-573-0263

Directions to “QUALITY LIFE HOME HEALTH AGENCY CORP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.