QUALITY LIFESTYLE SERVICE INC NPI 1811145030

NPI Information

NPI: 1811145030
Provider Name: QUALITY LIFESTYLE SERVICE INC

Doing Business As: QUALITY LIFESTYLE SERVICE INC ADULT DAY CENTER

Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization
Address:
5102 HWY 58
SUITE 4
CHATTANOOGA, TN
ZIP 37416
Phone: (423) 386-5714
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QUALITY LIFESTYLE SERVICE INC is a non emergency medical transport van in Chattanooga, TN. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. QUALITY LIFESTYLE SERVICE INC NPI is 1811145030. The provider is registered as an organization entity type.
The provider Is Doing Business As Quality Lifestyle Service Inc Adult Day Center.

The provider's business location address is:

5102 HWY 58
SUITE 4
CHATTANOOGA, TN
ZIP 37416-646
Phone: (423) 386-5714
Fax: (423) 386-5716

The provider's authorized official is Ursula Deshawn Dial .
The authorized official title is Director/administrator and has the following contact phone number (423) 386-5714.

The enumeration date for this NPI number is 8/29/2008 and was last updated on 2/6/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	347C00000X	Private Vehicle	C-27A	TENNESSEE	No
2	251C00000X	Day Training, Developmentally Disabled Services	21T	TENNESSEE	No
3	320800000X	Community Based Residential Treatment Facility, Mental Illness	C219-058-9914	TENNESSEE	No
4	320800000X	Community Based Residential Treatment Facility, Mental Illness	C219-058-9913	TENNESSEE	No
5	343900000X	Non-emergency Medical Transport (VAN)	C-27A	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H445199	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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