Healthcare Provider Details

I. General information

NPI: 1912791591
Provider Name (Legal Business Name): QUALITY COMFORT HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2025
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5312 W MAIN ST STE G5312
BELLEVILLE IL
62226-4733
US

IV. Provider business mailing address

431 CARROLL LN
GLEN CARBON IL
62034-1125
US

V. Phone/Fax

Practice location:
  • Phone: 314-239-1766
  • Fax: 314-433-6418
Mailing address:
  • Phone: 314-239-1766
  • Fax: 314-433-6418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MINNIE TUCKER
Title or Position: CEO
Credential:
Phone: 314-239-1766