Provider Demographics
NPI:1902695653
Name:THE QUIET FLAME HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:THE QUIET FLAME HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KURTRICE
Authorized Official - Middle Name:SHARLYNN
Authorized Official - Last Name:MANSARAY
Authorized Official - Suffix:
Authorized Official - Credentials:BA, CHW
Authorized Official - Phone:269-447-3630
Mailing Address - Street 1:845 59TH ST SE
Mailing Address - Street 2:
Mailing Address - City:KENTWOOD
Mailing Address - State:MI
Mailing Address - Zip Code:49508-6293
Mailing Address - Country:US
Mailing Address - Phone:269-447-3630
Mailing Address - Fax:
Practice Address - Street 1:845 59TH ST SE
Practice Address - Street 2:
Practice Address - City:KENTWOOD
Practice Address - State:MI
Practice Address - Zip Code:49508-6293
Practice Address - Country:US
Practice Address - Phone:269-447-3630
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care