Healthcare Provider Details

I. General information

NPI: 1487522934
Provider Name (Legal Business Name): QUALITY FIRST SUPPORT GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2025
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1099 WHITE HORSE RD # 208
VOORHEES NJ
08043-4405
US

IV. Provider business mailing address

1099 WHITE HORSE RD # 208
VOORHEES NJ
08043-4405
US

V. Phone/Fax

Practice location:
  • Phone: 856-521-9095
  • Fax: 609-543-2413
Mailing address:
  • Phone: 856-521-9095
  • Fax: 609-543-2413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. GEORGIE DIEM NGUYEN
Title or Position: CEO
Credential:
Phone: 856-521-9095