Provider Demographics
NPI:1871176925
Name:QUALITY TIME CARE LLC
Entity type:Organization
Organization Name:QUALITY TIME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADELEYE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEGOKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-596-3553
Mailing Address - Street 1:PO BOX 661
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85244-0661
Mailing Address - Country:US
Mailing Address - Phone:602-596-3553
Mailing Address - Fax:
Practice Address - Street 1:800 W QUEEN CREEK RD APT 1089
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85248-3307
Practice Address - Country:US
Practice Address - Phone:602-596-3553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-05
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care