Provider Demographics
NPI:1427275718
Name:QUALITY HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:QUALITY HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR & DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:FABIAN
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:219-322-7480
Mailing Address - Street 1:810 CEDAR PARKWAY
Mailing Address - Street 2:
Mailing Address - City:SCHERERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46375-1200
Mailing Address - Country:US
Mailing Address - Phone:219-322-7480
Mailing Address - Fax:219-322-7489
Practice Address - Street 1:810 CEDAR PARKWAY
Practice Address - Street 2:
Practice Address - City:SCHERERVILLE
Practice Address - State:IN
Practice Address - Zip Code:46375-1200
Practice Address - Country:US
Practice Address - Phone:219-322-7480
Practice Address - Fax:219-322-7489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2010-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN06-004623-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200957800 AMedicaid
IN200957800 AMedicaid