Healthcare Provider Details

I. General information

NPI: 1891804308
Provider Name (Legal Business Name): QUALITY LIVING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 08/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6404 NORTH 70TH PLAZA
OMAHA NE
68104
US

IV. Provider business mailing address

6404 NORTH 70TH PLAZA
OMAHA NE
68104
US

V. Phone/Fax

Practice location:
  • Phone: 402-573-3700
  • Fax: 402-573-3790
Mailing address:
  • Phone: 402-573-3700
  • Fax: 402-573-3780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHHA1002
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberALF
License Number StateNE
# 3
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number264014
License Number StateNE

VIII. Authorized Official

Name: MR. TODD R SCHUITEMAN
Title or Position: VICE PRESIDENT & CFO
Credential:
Phone: 402-573-3744