Healthcare Provider Details

I. General information

NPI: 1285931220
Provider Name (Legal Business Name): QUALITY CARE PROFESSIONAL NURSING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2011
Last Update Date: 02/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 CRYSTAL LAKE DR
POMPANO BEACH FL
33064-1293
US

IV. Provider business mailing address

4300 CRYSTAL LAKE DR
POMPANO BEACH FL
33064-1293
US

V. Phone/Fax

Practice location:
  • Phone: 954-830-4465
  • Fax: 954-782-1206
Mailing address:
  • Phone: 954-830-4465
  • Fax: 954-782-1206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License NumberEMT 512467
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberCNA 87371
License Number StateFL

VIII. Authorized Official

Name: MS. PATRICIA A. SAUNDERS
Title or Position: CERTIFIED NURSING ASSISTANT/OWNER
Credential: CNA.,EMT.,RPT, ETC.
Phone: 954-830-4465