Provider Demographics
NPI:1285277590
Name:QUALITY CARE THERAPEUTIC SERVICES LLC
Entity type:Organization
Organization Name:QUALITY CARE THERAPEUTIC SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JASIME
Authorized Official - Middle Name:
Authorized Official - Last Name:SONNY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-541-0070
Mailing Address - Street 1:1025 DULLES AVE APT 922
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-5745
Mailing Address - Country:US
Mailing Address - Phone:718-541-0070
Mailing Address - Fax:
Practice Address - Street 1:1025 DULLES AVE APT 922
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-5745
Practice Address - Country:US
Practice Address - Phone:718-541-0070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-21
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty