MEDICARE: QUALITY HOME HEALTH CARE LLC

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1336885193
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	72490 EL CENTRO WAY APT I135
Second Line	:
City	:	THOUSAND PALMS
State	:	CA
Zip	:	92276-3431
Country	:	US
Telephone Number	:	833-782-5742
Fax Number	:

Provider Business Practice Location Address
First Line	:	729 NW 2ND ST APT 828
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33128-1472
Country	:	US
Telephone Number	:	833-782-5742
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. ALMA ROSA DAVIS
Credential	:
Telephone Number	:	833-782-5742

Provider Enumeration Date	:	05/05/2022
Last Update Date	:	05/05/2022

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Directions to “QUALITY HOME HEALTH CARE LLC ” Practice Location

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