Provider Demographics
NPI:1679523179
Name:QUALITY HOME CARE, INC
Entity type:Organization
Organization Name:QUALITY HOME CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:
Authorized Official - Last Name:BLACKWELL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:864-676-9141
Mailing Address - Street 1:105 DELLANY CT
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29651
Mailing Address - Country:US
Mailing Address - Phone:864-676-9141
Mailing Address - Fax:864-676-0435
Practice Address - Street 1:219 RIVERSIDE CT
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-4508
Practice Address - Country:US
Practice Address - Phone:864-676-9141
Practice Address - Fax:864-676-0435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCDE1348332B00000X
SCEN2007332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCDE1348Medicaid
SCEN2007Medicaid
SCDE1348Medicaid