Provider Demographics
NPI:1962405431
Name:QUALITY HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:QUALITY HOME HEALTH CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DUSTIN
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:VANSICKLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-816-9401
Mailing Address - Street 1:1515 S SAM RAYBURN FWY
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-8735
Mailing Address - Country:US
Mailing Address - Phone:903-892-9281
Mailing Address - Fax:903-870-0580
Practice Address - Street 1:1515 S SAM RAYBURN FWY
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-8735
Practice Address - Country:US
Practice Address - Phone:903-892-9281
Practice Address - Fax:903-870-0580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-27
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008000251E00000X
TX016681251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX016681OtherMEDICARE-TEXAS DADS - HOME AND COMMUNITY SUPPORT SERVICES AGENCY LICENSE
TX016727Medicaid
TX016681OtherMEDICARE-TEXAS DADS - HOME AND COMMUNITY SUPPORT SERVICES AGENCY LICENSE
TXSW21185Medicare ID - Type UnspecifiedSUBMITTER NUMBER