Healthcare Provider Details

I. General information

NPI: 1851030829
Provider Name (Legal Business Name): QUALITY CARE PREFERENCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2022
Last Update Date: 10/05/2023
Certification Date: 10/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3347 AMES AVE
OMAHA NE
68111-2703
US

IV. Provider business mailing address

3347 AMES AVE
OMAHA NE
68111-2703
US

V. Phone/Fax

Practice location:
  • Phone: 863-800-2018
  • Fax:
Mailing address:
  • Phone: 863-800-2018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TESA LE ANNE TAPURIAH
Title or Position: OWNER/CEO/CLINCIAN
Credential: LADC, LMAC, C-SAC
Phone: 863-800-2018