Healthcare Provider Details

I. General information

NPI: 1083698823
Provider Name (Legal Business Name): QUALITY HOME HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2005
Last Update Date: 11/23/2021
Certification Date: 11/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 PARK AVE
SANFORD NC
27330-4027
US

IV. Provider business mailing address

106 PARK AVE
SANFORD NC
27330-4027
US

V. Phone/Fax

Practice location:
  • Phone: 919-775-2001
  • Fax: 919-776-8122
Mailing address:
  • Phone: 919-775-2001
  • Fax: 919-776-8122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number07107
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number07107
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number07107
License Number StateNC

VIII. Authorized Official

Name: KENNETH A FRIEND
Title or Position: VICE PRESIDENT/CEO
Credential:
Phone: 919-775-2001