MEDICARE: QUALITY NURSE REGISTRY 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
2	251E00000X	Home Health 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	:	1659010007
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY NURSE REGISTRY LLC

Provider Business Mailing Address
First Line	:	1680 SW BAYSHORE BLVD STE 119
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34984-3519
Country	:	US
Telephone Number	:	772-446-0957
Fax Number	:	772-466-0958

Provider Business Practice Location Address
First Line	:	1680 SW BAYSHORE BLVD STE 119
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34984-3519
Country	:	US
Telephone Number	:	772-446-0957
Fax Number	:	772-466-0958

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	SHELDAY JULES
Credential	:
Telephone Number	:	772-446-0957

Provider Enumeration Date	:	06/02/2022
Last Update Date	:	12/18/2025

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Directions to “QUALITY NURSE REGISTRY LLC ” Practice Location

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