Healthcare Provider Details

I. General information

NPI: 1366290587
Provider Name (Legal Business Name): QUALITY SENIORS CARE HOME HEALTH AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2024
Last Update Date: 05/13/2024
Certification Date: 05/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2940 AVENUE F
RIVIERA BEACH FL
33404-3724
US

IV. Provider business mailing address

1260 NORTHLAKE BLVD # 1062
LAKE PARK FL
33403-2050
US

V. Phone/Fax

Practice location:
  • Phone: 561-932-6723
  • Fax:
Mailing address:
  • Phone: 561-932-6723
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MARIE ELPHINE DUCLONA
Title or Position: OWNER
Credential: RN/BSN
Phone: 561-932-6723