Healthcare Provider Details

I. General information

NPI: 1851015440
Provider Name (Legal Business Name): QUALITY FIRST SUPPORT GROUP OF CA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2022
Last Update Date: 12/11/2024
Certification Date: 12/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15335 MORRISON ST STE 3018
SHERMAN OAKS CA
91403-1513
US

IV. Provider business mailing address

15335 MORRISON ST STE 3018
SHERMAN OAKS CA
91403-1513
US

V. Phone/Fax

Practice location:
  • Phone: 888-853-9434
  • Fax: 609-543-2413
Mailing address:
  • Phone: 888-853-9434
  • Fax: 609-543-2413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: GEORGIE D NGUYEN
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 888-853-9434