Provider Demographics
NPI:1699260273
Name:QUALITY SUPPORT SERVICES, LLC
Entity type:Organization
Organization Name:QUALITY SUPPORT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHEMELES
Authorized Official - Middle Name:
Authorized Official - Last Name:NEGASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-600-2373
Mailing Address - Street 1:2201 MURFREESBORO PIKE STE D202
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-3556
Mailing Address - Country:US
Mailing Address - Phone:615-600-2373
Mailing Address - Fax:
Practice Address - Street 1:2201 MURFREESBORO PIKE STE D202
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-3556
Practice Address - Country:US
Practice Address - Phone:615-600-2373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-26
Last Update Date:2018-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN=========OtherFEDERAL IDENTIFICATION NUMBER