Provider Demographics
NPI:1144815507
Name:QUALITY LIFE CARE HOME HEALTH INC.
Entity type:Organization
Organization Name:QUALITY LIFE CARE HOME HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AYMEE
Authorized Official - Middle Name:
Authorized Official - Last Name:FROMETA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:561-635-1197
Mailing Address - Street 1:2101 VISTA PKWY STE 275
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-2706
Mailing Address - Country:US
Mailing Address - Phone:561-635-1197
Mailing Address - Fax:
Practice Address - Street 1:2101 VISTA PKWY STE 115
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-2706
Practice Address - Country:US
Practice Address - Phone:561-635-1197
Practice Address - Fax:877-788-0285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-07
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL299995321OtherSTATE LICENSE