Basic Information
| Provider Information | |||||||||
| NPI: | 1851930952 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | QUALITY GROUP HOMES, INC. | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | QUALITY FAMILY SERVICES - YALE HOUSE | ||||||||
| OtherOrganizationType: | 5 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4928 E CLINTON WAY STE 108 | ||||||||
| Address2: | |||||||||
| City: | FRESNO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 937271526 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5592526844 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1105 E YALE AVE | ||||||||
| Address2: | |||||||||
| City: | FRESNO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 937046238 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5592521738 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/06/2020 | ||||||||
| LastUpdateDate: | 06/30/2020 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | CURLEY | ||||||||
| AuthorizedOfficialFirstName: | VALERIE | ||||||||
| AuthorizedOfficialMiddleName: | J | ||||||||
| AuthorizedOfficialTitleorPosition: | RESEARCH COORDINATOR | ||||||||
| AuthorizedOfficialTelephone: | 5592526844 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | QUALITY GROUP HOMES, INC. | ||||||||
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| NPICertificationDate: | 06/30/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 305S00000X | N | Managed Care Organizations | Point of Service | 251S00000X | N | Agencies | Community/Behavioral Health | 253J00000X | N | Agencies | Foster Care Agency | 320800000X | Y | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness |
No ID Information.