=====================================================
General NPI Number Information
=====================================================
NPI Number | 1033542824
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | QUALITY HOMECARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/15/2013
-----------------------------------------------------
Last Update Date | 02/12/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 335 CENTRAL ST
-----------------------------------------------------
City | SAUGUS
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01906-2366
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 857-236-5623
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 335 CENTRAL ST
-----------------------------------------------------
City | SAUGUS
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01906-2366
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 857-236-5623
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MS. KATIA BEAUGE-CALISE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 857-236-5623
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------