=====================================================
General NPI Number Information
=====================================================
NPI Number | 1619988623
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TOP QUALITY HOME CARE SERVICES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/11/2006
-----------------------------------------------------
Last Update Date | 10/15/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 633 N.E. 167TH ST SUITE 603
-----------------------------------------------------
City | NORTH MIAMI BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33162-2444
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-999-9877
-----------------------------------------------------
Fax | 305-493-9560
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 633 N.E. 167TH ST SUITE 603
-----------------------------------------------------
City | NORTH MIAMI BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33162-2444
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-999-9877
-----------------------------------------------------
Fax | 305-493-9560
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MS. PAULA TORRES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 305-999-9877
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------