Provider Demographics
NPI:1700834173
Name:QUALITY PROVIDER SERVICES INC
Entity type:Organization
Organization Name:QUALITY PROVIDER SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:BREEDING
Authorized Official - Suffix:
Authorized Official - Credentials:RD LD
Authorized Official - Phone:859-623-0912
Mailing Address - Street 1:229 CHURCHILL DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-3295
Mailing Address - Country:US
Mailing Address - Phone:859-623-0912
Mailing Address - Fax:
Practice Address - Street 1:229 CHURCHILL DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-3295
Practice Address - Country:US
Practice Address - Phone:859-623-0912
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000277772OtherANTHEM BC/BS PROVIDER NU
KYFS 1368OtherFIRST STEPS
KY6300010OtherUNITED HEALTHCARE
KY710000850OtherUMWA
KY50000869OtherPASSPORT PROVIDER NUMBER
KY146300OtherRAILROAD MEDICARE
KY90005570Medicaid
KY90005570Medicaid
KY6300010OtherUNITED HEALTHCARE