Organization
QUALITY HOME CARE SERVICES
Active
Other names
Quality Comprehensive Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RASHAWN D FLOURNOY (EXECUTIVE DIRECTOR)
(980) 285-3388
Entity
Organization
Contact information
Practice address
3607 BEATTIES FORD RD, CHARLOTTE, NC 28216-3249
(704) 394-8968
(704) 394-8967
Mailing address
3607 BEATTIES FORD RD, CHARLOTTE, NC 28216-3249
(704) 394-8968
(704) 394-8967
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
207R00000X
Internal Medicine Physician
—
—
251B00000X
Case Management Agency
870442
NC
251S00000X
Community/Behavioral Health Agency
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11997122
HEALTHY BLUE OF NC (MEDICAID - LESLIE WARE)
NC
05
—
1245236249
—
NC
01
—
13014156
MULTIPLAN - LESLIE WARE
NC
01
—
2628388
WELLCARE
NC
01
—
4785515
CIGNA - DR. ALICIA HOWARD
NC
01
—
5561347
AETNA - LESLIE WARE
NC
01
—
6022957
AETNA
NC
01
—
P10007481725
CAROLINA COMPLETE HEALTH - LESLIE WARE
NC
Enumeration date
11/04/2006
Last updated
09/24/2024
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