Healthcare Provider Details

I. General information

NPI: 1235218769
Provider Name (Legal Business Name): QUALITY GROUP HOMES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 06/30/2020
Certification Date: 06/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3990 BRANCH CENTER RD
SACRAMENTO CA
95827-3809
US

IV. Provider business mailing address

4928 E CLINTON WAY SUITE 108
FRESNO CA
93727-1526
US

V. Phone/Fax

Practice location:
  • Phone: 916-609-6300
  • Fax: 916-609-6301
Mailing address:
  • Phone: 559-252-6844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number347001429
License Number StateCA

VIII. Authorized Official

Name: CARMEN MARONEY
Title or Position: ADMINISTRATOR
Credential:
Phone: 559-252-6844