Provider Demographics
NPI:1548961725
Name:CK QUALITY HOME CARE CORPORATION
Entity type:Organization
Organization Name:CK QUALITY HOME CARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAITLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-302-6486
Mailing Address - Street 1:5790 BRENTRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:EXCELSIOR
Mailing Address - State:MN
Mailing Address - Zip Code:55331-8300
Mailing Address - Country:US
Mailing Address - Phone:952-395-3443
Mailing Address - Fax:952-214-4030
Practice Address - Street 1:2415 ANNAPOLIS LN N STE 100
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55441-3651
Practice Address - Country:US
Practice Address - Phone:952-395-3443
Practice Address - Fax:952-214-4030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-14
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care