Healthcare Provider Details

I. General information

NPI: 1255781191
Provider Name (Legal Business Name): QUALITY CAREGIVERS SOLUTION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2016
Last Update Date: 06/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

273 AZALEA RD SUITE 100 BLDG 1
MOBILE AL
36609-1970
US

IV. Provider business mailing address

273 AZALEA RD BUILDING 1 SUITE 100
MOBILE AL
36609-1970
US

V. Phone/Fax

Practice location:
  • Phone: 251-607-6327
  • Fax: 251-607-6287
Mailing address:
  • Phone: 251-607-6327
  • Fax: 251-607-6287

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. PATTY STALLWORTH
Title or Position: CEO
Credential:
Phone: 251-635-7532