Provider Demographics
NPI:1285931220
Name:QUALITY CARE PROFESSIONAL NURSING
Entity type:Organization
Organization Name:QUALITY CARE PROFESSIONAL NURSING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED NURSING ASSISTANT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SAUNDERS
Authorized Official - Suffix:
Authorized Official - Credentials:CNA,EMT,RPT, ETC
Authorized Official - Phone:954-830-4465
Mailing Address - Street 1:4300 CRYSTAL LAKE DR
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-1293
Mailing Address - Country:US
Mailing Address - Phone:954-830-4465
Mailing Address - Fax:954-782-1206
Practice Address - Street 1:4300 CRYSTAL LAKE DR
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-1293
Practice Address - Country:US
Practice Address - Phone:954-830-4465
Practice Address - Fax:954-782-1206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-25
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLEMT 512467146N00000X
372500000X, 372600000X, 3747P1801X, 376J00000X, 376K00000X
FLCNA 87371374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Single Specialty
No372500000XNursing Service Related ProvidersChore ProviderGroup - Single Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty