MEDICARE: QUALITY PERSONAL CARE

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	251G00000X	Community Based Hospice Care Agency	HC2210	NC

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

General Provider Information

NPI Number	:	1215093141
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY PERSONAL CARE

Provider Business Mailing Address
First Line	:	301 N MAIN ST
Second Line	:	SUITE 2501
City	:	WINSTON SALEM
State	:	NC
Zip	:	27101-3836
Country	:	US
Telephone Number	:	336-397-0099
Fax Number	:	336-397-0097

Provider Business Practice Location Address
First Line	:	301 N MAIN ST
Second Line	:	SUITE 2501
City	:	WINSTON SALEM
State	:	NC
Zip	:	27101-3836
Country	:	US
Telephone Number	:	336-397-0099
Fax Number	:	336-397-0097

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MICHILLE MCLAIN
Credential	:
Telephone Number	:	336-397-0099

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	08/22/2020

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Directions to “QUALITY PERSONAL CARE ” Practice Location

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