Healthcare Provider Details

I. General information

NPI: 1871130609
Provider Name (Legal Business Name): QUALITY HOME CARE AND SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2019
Last Update Date: 08/03/2021
Certification Date: 08/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1022 W LINDBERG ST
SPRINGFIELD MO
65807-2442
US

IV. Provider business mailing address

1022 W LINDBERG ST
SPRINGFIELD MO
65807-2442
US

V. Phone/Fax

Practice location:
  • Phone: 417-987-1661
  • Fax: 417-281-3320
Mailing address:
  • Phone: 417-987-1661
  • Fax: 417-719-9043

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: MRS. ZIPPORAH LACHELL BURNS
Title or Position: OWNER
Credential: MHCM
Phone: 417-987-1661