Provider Demographics
NPI:1134170343
Name:QUALITY HOME HEALTH INC
Entity type:Organization
Organization Name:QUALITY HOME HEALTH INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/ DON
Authorized Official - Prefix:
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-373-2273
Mailing Address - Street 1:3602 CYPRESS ST STE A
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-7314
Mailing Address - Country:US
Mailing Address - Phone:318-373-2273
Mailing Address - Fax:318-605-4657
Practice Address - Street 1:3602 CYPRESS ST STE A
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-7314
Practice Address - Country:US
Practice Address - Phone:318-373-2273
Practice Address - Fax:318-605-4657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1215251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1402834Medicaid
LA197296Medicare Oscar/Certification