Provider Demographics
NPI:1699557983
Name:LUCKEY QUALITY HOME CARE LLC
Entity type:Organization
Organization Name:LUCKEY QUALITY HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:LUCKEY
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:412-229-8508
Mailing Address - Street 1:144 MONROEVILLE MALL
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2225
Mailing Address - Country:US
Mailing Address - Phone:412-229-8508
Mailing Address - Fax:
Practice Address - Street 1:301 MALL OFFICE COMPLEX
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2244
Practice Address - Country:US
Practice Address - Phone:412-229-8508
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-20
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care