Healthcare Provider Details

I. General information

NPI: 1548566979
Provider Name (Legal Business Name): QUALITY FAMILY CARE HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2011
Last Update Date: 11/15/2022
Certification Date: 11/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 W SAMPLE RD STE 215
POMPANO BEACH FL
33073-3049
US

IV. Provider business mailing address

2300 W SAMPLE RD STE 215
POMPANO BEACH FL
33073-3049
US

V. Phone/Fax

Practice location:
  • Phone: 754-227-7175
  • Fax: 754-227-7177
Mailing address:
  • Phone: 754-227-7175
  • Fax: 754-227-7177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: JESSENIA VELEZ
Title or Position: OFFICE MANAGER
Credential:
Phone: 561-242-9450