Healthcare Provider Details
I. General information
NPI: 1265014013
Provider Name (Legal Business Name): QUADCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/22/2021
Last Update Date: 10/24/2023
Certification Date: 09/22/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
20283 STATE ROAD 7 STE 332
BOCA RATON FL
33498-6901
US
IV. Provider business mailing address
20283 STATE ROAD 7 STE 332
BOCA RATON FL
33498-6901
US
V. Phone/Fax
- Phone: 561-756-8261
- Fax: 561-220-4709
- Phone: 703-677-1808
- Fax: 561-220-4709
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3140N1450X |
| Taxonomy | Pediatric Skilled Nursing Facility |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALLISON
BURREY
Title or Position: CEO
Credential: RN
Phone: 561-756-8261