Healthcare Provider Details

I. General information

NPI: 1659010007
Provider Name (Legal Business Name): QUALITY NURSE REGISTRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2022
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1680 SW BAYSHORE BLVD STE 119
PORT ST LUCIE FL
34984-3519
US

IV. Provider business mailing address

1680 SW BAYSHORE BLVD STE 119
PORT ST LUCIE FL
34984-3519
US

V. Phone/Fax

Practice location:
  • Phone: 772-446-0957
  • Fax: 772-466-0958
Mailing address:
  • Phone: 772-446-0957
  • Fax: 772-466-0958

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SHELDAY JULES
Title or Position: ADMINISTRATOR
Credential:
Phone: 772-446-0957