Provider Demographics
NPI:1902805161
Name:QUALITY HOSPICE CARE, INC
Entity Type:Organization
Organization Name:QUALITY HOSPICE CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOANN
Authorized Official - Middle Name:T
Authorized Official - Last Name:ROUNSAVILLE
Authorized Official - Suffix:
Authorized Official - Credentials:LBSW
Authorized Official - Phone:601-656-5252
Mailing Address - Street 1:340 BYRD AVE S
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:MS
Mailing Address - Zip Code:39350-2516
Mailing Address - Country:US
Mailing Address - Phone:601-656-5252
Mailing Address - Fax:601-656-5253
Practice Address - Street 1:340 BYRD AVE S
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:MS
Practice Address - Zip Code:39350-2516
Practice Address - Country:US
Practice Address - Phone:601-656-5252
Practice Address - Fax:601-656-5253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-19
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS086251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS02755291Medicaid
MS02755291Medicaid