Healthcare Provider Details

I. General information

NPI: 1144234071
Provider Name (Legal Business Name): QUANTUM HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

983 EXCHANGE ST
VERMILION OH
44089-1256
US

IV. Provider business mailing address

983 EXCHANGE ST
VERMILION OH
44089-1256
US

V. Phone/Fax

Practice location:
  • Phone: 440-967-6614
  • Fax: 440-967-1968
Mailing address:
  • Phone: 440-967-6614
  • Fax: 440-967-1968

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number1902N
License Number StateOH

VIII. Authorized Official

Name: MR. STEVEN RANKIN
Title or Position: PRESIDENT/ADMINISTRATOR
Credential: NHA
Phone: 440-967-6617