Healthcare Provider Details

I. General information

NPI: 1750680674
Provider Name (Legal Business Name): QUALITY HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2011
Last Update Date: 05/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 N ORANGE ST
BUTLER MO
64730-9387
US

IV. Provider business mailing address

1300 N ORANGE ST
BUTLER MO
64730-9387
US

V. Phone/Fax

Practice location:
  • Phone: 660-679-6733
  • Fax: 660-679-6743
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: JACQUELINE MARIE FISCHER
Title or Position: PRES/DIRECT OWNER
Credential:
Phone: 660-679-6733