Organization
CQI HOMECARE INC
Active
Parent organization
CQI HOMECARE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CQI HOMECARE INC
Authorized official
NENA BASICAL VILLANIA RN, MA (CEO/ADMINISTRATOR)
(818) 549-4830
Entity
Organization
Contact information
Practice address
520 E WILSON AVE, SUITE 230, GLENDALE, CA 91206-4374
(818) 549-4830
(818) 548-4832
Mailing address
520 E WILSON AVE, SUITE 230, GLENDALE, CA 91206-4374
(818) 549-4830
(818) 548-4832
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058119
MEDIARE PROVIDER NUMBER
DE
01
—
HHA-08118F
MEDICAL PROVIDER NUMBER
DE
Enumeration date
12/20/2007
Last updated
12/20/2007
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