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General NPI Number Information
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NPI Number | 1245851088
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Entity Type | Organization
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Legal Business Name | QUALITY CARE HOME HEALTH SERVICE, LLC
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Dates
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Enumeration Date | 05/04/2020
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 4505 GEORGEWASHINGTON HWY
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City | PORTSMOUTH
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State | VA
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Zip | 23702
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Country | US
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Telephone | 757-956-6200
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Fax | 757-410-4210
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Provider Business Mailing Address
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Address Line | 4505 GEORGEWASHINGTON HWY
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City | PORTSMOUTH
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State | VA
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Zip | 23702
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Country | US
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Telephone | 757-956-6200
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Fax | 757-410-4210
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MIKAYLAH IYONNA LANG
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Credential |
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Telephone | 757-287-0499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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