Healthcare Provider Details

I. General information

NPI: 1083602577
Provider Name (Legal Business Name): QUALITY HEALTH CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11535 CARMEL COMMONS BLVD 105
CHARLOTTE NC
28226-5313
US

IV. Provider business mailing address

11535 CARMEL COMMONS BLVD 105
CHARLOTTE NC
28226-5313
US

V. Phone/Fax

Practice location:
  • Phone: 704-319-2277
  • Fax: 704-319-2278
Mailing address:
  • Phone: 704-319-2277
  • Fax: 704-319-2278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License NumberHC1464
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberHC1464
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberHC1464
License Number StateNC
# 4
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License NumberHC1464
License Number StateNC

VIII. Authorized Official

Name: MRS. AMY HART WILSON
Title or Position: PRESIDENT
Credential:
Phone: 704-319-2277