- Enrollment id
- O20071107000835
- Enrollment state
- NV
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1427256114
- Multiple npi flag
- N
- Ccn
- 297170
- Associate id
- 0143317123
- Organization name
- QUALITY HOME HEALTH INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 3017 W CHARLESTON BLVD
- Address line 2
- STE 12
- City
- LAS VEGAS
- State
- NV
- Zip code
- 891021927