MEDICARE: QUALITY HOME CAREGIVERS 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	253Z00000X	In Home Supportive Care 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

General Provider Information

NPI Number	:	1548052673
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY HOME CAREGIVERS LLC

Provider Business Mailing Address
First Line	:	4105 MADISON ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68107-3744
Country	:	US
Telephone Number	:	402-982-0397
Fax Number	:	402-982-0403

Provider Business Practice Location Address
First Line	:	4105 MADISON ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68107-3744
Country	:	US
Telephone Number	:	402-982-0397
Fax Number	:	402-982-0403

Authorized Official
Title or Position	:	OWNER/MANAGEMENT
Name	:	ALEX ONORIO PEREZ BAUTISTA
Credential	:
Telephone Number	:	402-982-0397

Provider Enumeration Date	:	05/22/2025
Last Update Date	:	05/22/2025

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Directions to “QUALITY HOME CAREGIVERS LLC ” Practice Location

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