Provider Demographics
NPI:1063152858
Name:QUALCARE NURSE REGISTRY INC
Entity type:Organization
Organization Name:QUALCARE NURSE REGISTRY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:W
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-638-4572
Mailing Address - Street 1:7491 WEST OAKLAND PK BLVD
Mailing Address - Street 2:304
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319-4316
Mailing Address - Country:US
Mailing Address - Phone:954-839-9819
Mailing Address - Fax:954-634-5699
Practice Address - Street 1:7491 W OAKLAND PARK BLVD STE 304
Practice Address - Street 2:304
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319-4970
Practice Address - Country:US
Practice Address - Phone:954-839-9819
Practice Address - Fax:954-634-5699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-30
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL104500100Medicaid