Provider Demographics
NPI:1528115342
Name:QUALITY SERVICES HOME HEALTH INC
Entity type:Organization
Organization Name:QUALITY SERVICES HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARISEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MENENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MISS
Authorized Official - Phone:305-819-5880
Mailing Address - Street 1:1779 W 37TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-4671
Mailing Address - Country:US
Mailing Address - Phone:305-819-5880
Mailing Address - Fax:305-819-5882
Practice Address - Street 1:1779 W 37TH ST UNIT 15
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4672
Practice Address - Country:US
Practice Address - Phone:305-819-5880
Practice Address - Fax:305-819-5882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPPLIYING FOR251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAPPLIYINGOtherHOME CARE
FL=========OtherHOME HEALTH AGENCY