Quality Lifestyle Service Inc Adult Day Center

LBN: Quality Lifestyle Service Inc
Quality Lifestyle Service Inc Adult Day Center is an health care organization with primary practice located at 5102 Hwy 58 Suite 4, Chattanooga TN 37416-1646. The organization recently has 4 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Transportation Services / Non-emergency Medical Transport (VAN), Transportation Services / Private Vehicle. Transportation Services / Non-emergency Medical Transport (VAN) is the primary health care specialty. Quality Lifestyle Service Inc can be contacted via phone (423) 386-5714, or through Dial, Ursula Deshawn via phone (423) 386-5714.

Contact Information

Primary practice address
5102 Hwy 58 Suite 4 Chattanooga TN 37416-1646
Phone: (423) 386-5714
Fax: (423) 386-5716
Website:
Map and Directions
Authorized official contact:
Name: Dial, Ursula Deshawn
Phone: (423) 386-5714

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X 21T Tennessee
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X C219-058-9914 Tennessee
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X C219-058-9913 Tennessee
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X C-27A Tennessee
Transportation Services / Private Vehicle 347C00000X C-27A Tennessee

Profile Details

NPI number 1811145030
LBN Legal business name Quality Lifestyle Service Inc
DBA Doing business as Quality Lifestyle Service Inc Adult Day Center
Authorized official Dial, Ursula Deshawn
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 29th, 2008
Last updated Feb 6th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811145030 NPPES
Tennessee MEDICAID H445199

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