NPI Code Details Logo

NPI 1083698823

NPI 1083698823 : QUALITY HOME HEALTHCARE INC : SANFORD, NC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1083698823
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    QUALITY HOME HEALTHCARE INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/05/2005
-----------------------------------------------------
    Last Update Date     |    11/23/2021
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    106 PARK AVE 
-----------------------------------------------------
    City                 |    SANFORD
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    27330-4027
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    919-775-2001
-----------------------------------------------------
    Fax                  |    919-776-8122
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    106 PARK AVE 
-----------------------------------------------------
    City                 |    SANFORD
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    27330-4027
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    919-775-2001
-----------------------------------------------------
    Fax                  |    919-776-8122
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    VICE PRESIDENT/CEO
-----------------------------------------------------
    Name                 |     KENNETH A FRIEND 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    919-775-2001
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    332BP3500X
-----------------------------------------------------
    Taxonomy Name        |    Parenteral & Enteral Nutrition Supplies (DME)
-----------------------------------------------------
    License Number       |    07107
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    332BX2000X
-----------------------------------------------------
    Taxonomy Name        |    Oxygen Equipment & Supplies (DME)
-----------------------------------------------------
    License Number       |    07107
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    332B00000X
-----------------------------------------------------
    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
    License Number       |    07107
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.