Healthcare Provider Details

I. General information

NPI: 1306950720
Provider Name (Legal Business Name): QUALITY CARE NURSING SERVICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 06/19/2024
Certification Date: 06/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 WASHINGTON ST SUITE 13
SOUTH POINT OH
45680-9604
US

IV. Provider business mailing address

501 WASHINGTON ST SUITE 13
SOUTH POINT OH
45680-9606
US

V. Phone/Fax

Practice location:
  • Phone: 740-377-9095
  • Fax: 740-377-9593
Mailing address:
  • Phone: 740-377-9095
  • Fax: 740-377-9593

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number36D0941271
License Number StateOH

VIII. Authorized Official

Name: MR. DOUGLAS J FREEMAN
Title or Position: CEO
Credential:
Phone: 740-377-9095