QUALITY LIFE RESIDENCE INC. (NPI# 1437787355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437787355 |
| Entity Type | Organization |
| Organization Name | QUALITY LIFE RESIDENCE INC. |
| Practice Address |
825 Freeman St Brooklyn MD 21225-1925 |
| Mailing Address |
626 Rxr Plz Uniondale NY 11556-0626 |
| Practice Telephone | 8558319133 |
| Practice Fax Number | 8558319133 |
| Mailing Telephone | 8558319133 |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |
| Authorized Official Name | MS. JAMIE L ROGERS (PRESIDENT) |
| Authorized Official Telephone | 8558319133 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 05594936 | 05 |
| Street Address |
825 FREEMAN ST |
| City | BROOKLYN |
| State | MD |
| Zip Code | 21225-1925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386120293 | Sumit Chhetri | Student in an Organized Health Care Education/Training Program | 3001 S. Hanover St, Department of Medicine, Baltimore, MD 21225 | 2018-07-13 |
| 1003334657 | Matthew Scott Leeney | Physician Assistant | Medstar Harbor Hospital 3001 S Hanover St, Baltimore, MD 21225 | 2017-09-05 |
| 1396281168 | Hasya Pearlman | Social Worker | 410 East Jeffrey Street, Baltimore, MD 21225 | 2017-01-17 |
| 1215484852 | Anta Kah | Nurse Practitioner | 3001 S. Hanover St, Baltimore, MD 21225 | 2016-09-01 |
| 1649629320 | Eddie Jung | Chiropractor | 541 E Patapsco Ave Ste 206, Baltimore, MD 21225 | 2016-06-03 |
| 1508284092 | Diana Ladkany | Emergency Medicine | 3001 S Hanover St., Department of Emergency Medicine, Baltimore, MD 21225 | 2014-04-01 |
| 1871841304 | Rachel Anne Hinckley | Pharmacist | 5804 Governor Ritchie Highway, Baltimore, MD 21225 | 2012-08-15 |
| 1174833040 | Vincent M. Notarangelo, Md, Pa | Ophthalmology | 3001 S. Hanover Street, Suite 100, Baltimore, MD 21225 | 2010-10-13 |
| 1053647354 | Adindu David Ezeocha | Pharmacist | 5804 Ritchie Hwy, Baltimore, MD 21225 | 2009-10-22 |
| 1700018090 | Gayathri Murthy | Internal Medicine | Medstar Harbor Hospital, 3001 S Hanover St, Baltimore, MD 21225 | 2009-08-20 |
| Find all providers in zip 21225 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275911000 | The Palm Beach Home for Adults | Assisted Living Facility | 2900 Bragg Street, Brooklyn, NY 11235 | 2015-05-13 |
| 1023415718 | Chihkai Chi | Assisted Living Facility | 266 Prospect Park West, Brooklyn, NY 11215 | 2014-11-25 |
| 1275946873 | Moffat Gardens Alp, Inc. | Assisted Living Facility | 22 Moffat St., Administrative Suite First Floor, Brooklyn, NY 11207 | 2014-06-11 |
| 1902217862 | St. Nicks Alliance Corp. | Assisted Living Facility | 260 Powers St, Brooklyn, NY 11211-5057 | 2014-05-14 |
| 1780014886 | Oceanview Manor Home for Adults, Inc. | Assisted Living Facility | 3010 W 33rd St, Brooklyn, NY 11224-1404 | 2013-11-26 |
| 1760796437 | Carmen Rose Christian | Assisted Living Facility | 1319 E 91st St, Brooklyn, NY 11236-4213 | 2010-08-04 |
| 1639361637 | Bushwick Economic Development Corp | Assisted Living Facility | 629 Chauncey St, Brooklyn, NY 11207-1413 | 2007-08-14 |
| 1922202316 | I & J Supplies Inc | Assisted Living Facility | 5377 Kings Hwy, Brooklyn, NY 11203-6704 | 2007-06-12 |
| 1871796045 | Regency of Boro Park | Assisted Living Facility | 5110 19th Ave, Brooklyn, NY 11204-1703 | 2007-06-06 |
| 1407460819 | Harbor View Senior Living Residence | Assisted Living Facility | 3900 Shore Pkwy, Brooklyn, NY 11235-1130 | 2020-09-02 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.