Provider Demographics
NPI:1366701534
Name:QUALITY CARE FROM THE HEART
Entity type:Organization
Organization Name:QUALITY CARE FROM THE HEART
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DENEE'
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:FOISY
Authorized Official - Suffix:
Authorized Official - Credentials:BSW
Authorized Official - Phone:309-532-7915
Mailing Address - Street 1:144 NEWPORT DRIVE
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830
Mailing Address - Country:US
Mailing Address - Phone:309-532-7915
Mailing Address - Fax:865-685-0372
Practice Address - Street 1:144 NEWPORT DRIVE
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830
Practice Address - Country:US
Practice Address - Phone:309-532-7915
Practice Address - Fax:865-685-0372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-09
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0130900305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization