Provider Demographics
NPI:1154130235
Name:TOTAL QUALITY TRANS CARE LLC
Entity type:Organization
Organization Name:TOTAL QUALITY TRANS CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IDRISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:LO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-774-9494
Mailing Address - Street 1:700 SCARLET OAK ST APT 102
Mailing Address - Street 2:
Mailing Address - City:SOUTHAVEN
Mailing Address - State:MS
Mailing Address - Zip Code:38671-6329
Mailing Address - Country:US
Mailing Address - Phone:813-774-9494
Mailing Address - Fax:
Practice Address - Street 1:700 SCARLET OAK ST APT 102
Practice Address - Street 2:
Practice Address - City:SOUTHAVEN
Practice Address - State:MS
Practice Address - Zip Code:38671-6329
Practice Address - Country:US
Practice Address - Phone:813-774-9494
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home