Healthcare Provider Details

I. General information

NPI: 1922621457
Provider Name (Legal Business Name): QUANTUM HEALTH CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2020
Last Update Date: 06/28/2024
Certification Date: 06/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

298 PETER'S REST STE. #8
ST. CROIX VI
00820
US

IV. Provider business mailing address

PO BOX 308154
ST THOMAS VI
00803-8154
US

V. Phone/Fax

Practice location:
  • Phone: 340-718-7427
  • Fax: 340-718-7430
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. JOYCELYN PETERSEN
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 340-201-0004