Provider Demographics
NPI:1942283718
Name:Q C N HOME CARE SYSTEMS, INC.
Entity type:Organization
Organization Name:Q C N HOME CARE SYSTEMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMELIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:PASCUAL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:248-358-2113
Mailing Address - Street 1:16000 W 9 MILE RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-4808
Mailing Address - Country:US
Mailing Address - Phone:248-358-2113
Mailing Address - Fax:248-358-2229
Practice Address - Street 1:16000 W 9 MILE RD
Practice Address - Street 2:SUITE 220
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4808
Practice Address - Country:US
Practice Address - Phone:248-358-2113
Practice Address - Fax:248-358-2229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-25
Last Update Date:2009-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI237434Medicare Oscar/Certification