=====================================================
General NPI Number Information
=====================================================
NPI Number | 1447210299
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | QUALITY HOME CARE PROVIDERS, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/24/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 345 GRAND AVE
-----------------------------------------------------
City | LEONIA
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07605-2238
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-585-9234
-----------------------------------------------------
Fax | 201-585-9633
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 345 GRAND AVE
-----------------------------------------------------
City | LEONIA
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07605-2238
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-585-9234
-----------------------------------------------------
Fax | 201-585-9633
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MUNR KAZMIR
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 201-585-9234
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332BX2000X
-----------------------------------------------------
Taxonomy Name | Oxygen Equipment & Supplies (DME)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------