MEDICARE: QUALITY CARE HOLDINGS 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	343900000X	Non-emergency Medical Transport (VAN)	17-00027980	FL

General Provider Information

NPI Number	:	1720509441
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY CARE HOLDINGS INC

Provider Business Mailing Address
First Line	:	3247 OLEANDER AVE STE A5
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34982-6425
Country	:	US
Telephone Number	:	772-448-8823
Fax Number	:

Provider Business Practice Location Address
First Line	:	3247 OLEANDER AVE SUITE A5
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34982
Country	:	US
Telephone Number	:	772-448-8823
Fax Number	:

Authorized Official
Title or Position	:	OPERATIONS MANAGER
Name	:	MRS. AVA LYNN MCBRIDE
Credential	:
Telephone Number	:	772-448-8823

Provider Enumeration Date	:	07/03/2017
Last Update Date	:	07/21/2022

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