Provider Demographics
NPI:1851306336
Name:LEER'S QUALITY HOME HEALTH CARE SERVICES INC.
Entity type:Organization
Organization Name:LEER'S QUALITY HOME HEALTH CARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:TAYLER
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCULLOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-949-0256
Mailing Address - Street 1:4241 E PIEDRAS DR
Mailing Address - Street 2:UNIT B, STE 251
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228
Mailing Address - Country:US
Mailing Address - Phone:210-949-0256
Mailing Address - Fax:210-949-0256
Practice Address - Street 1:4241 E PIEDRAS DR
Practice Address - Street 2:UNIT B, STE 251
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228
Practice Address - Country:US
Practice Address - Phone:210-949-0256
Practice Address - Fax:210-949-0411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX08669251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX459484Medicare PIN
TX=========Medicare Oscar/Certification
TX459484Medicare Oscar/Certification
TXSW21394Medicare Oscar/Certification