Healthcare Provider Details

I. General information

NPI: 1063631737
Provider Name (Legal Business Name): QUALITY SERVICES BEYOND COMPLIANCE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 09/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CROSS ISLAND PLZ RM# LL 7A
ROSEDALE NY
11422-1484
US

IV. Provider business mailing address

1 CROSS ISLAND PLZ RM# LL 7A
ROSEDALE NY
11422-1484
US

V. Phone/Fax

Practice location:
  • Phone: 718-949-3140
  • Fax: 718-949-3695
Mailing address:
  • Phone: 718-949-3140
  • Fax: 718-949-3695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. GERSHON CLARKE
Title or Position: CEO
Credential:
Phone: 718-949-3140