MEDICARE: QUALITY SERVICES BEYOND COMPLIANCE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
2	251B00000X	Case Management Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063631737
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY SERVICES BEYOND COMPLIANCE INC

Provider Business Mailing Address
First Line	:	1 CROSS ISLAND PLZ
Second Line	:	RM# LL 7A
City	:	ROSEDALE
State	:	NY
Zip	:	11422-1484
Country	:	US
Telephone Number	:	718-949-3140
Fax Number	:	718-949-3695

Provider Business Practice Location Address
First Line	:	1 CROSS ISLAND PLZ
Second Line	:	RM# LL 7A
City	:	ROSEDALE
State	:	NY
Zip	:	11422-1484
Country	:	US
Telephone Number	:	718-949-3140
Fax Number	:	718-949-3695

Authorized Official
Title or Position	:	CEO
Name	:	MR. GERSHON CLARKE
Credential	:
Telephone Number	:	718-949-3140

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	09/02/2008

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Directions to “QUALITY SERVICES BEYOND COMPLIANCE INC ” Practice Location

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