Provider Demographics
NPI:1053898452
Name:QUALITY TOUCH COMMUNITY CARE LLC
Entity type:Organization
Organization Name:QUALITY TOUCH COMMUNITY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DION
Authorized Official - Middle Name:
Authorized Official - Last Name:CASHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-295-7447
Mailing Address - Street 1:57 HIGHWOOD RD
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-4000
Mailing Address - Country:US
Mailing Address - Phone:862-295-7447
Mailing Address - Fax:
Practice Address - Street 1:46-56 OAKWOOD AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07050
Practice Address - Country:US
Practice Address - Phone:862-295-7447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-27
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0646458Medicaid