Provider Demographics
NPI:1073178034
Name:TOUCH OF CLASS CARE HOME LLC
Entity Type:Organization
Organization Name:TOUCH OF CLASS CARE HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DELIA
Authorized Official - Middle Name:PANEM
Authorized Official - Last Name:CABITAC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-354-6486
Mailing Address - Street 1:4940 LAKESIDE DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-5830
Mailing Address - Country:US
Mailing Address - Phone:775-354-6486
Mailing Address - Fax:
Practice Address - Street 1:935 MANZANITA LN
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-5304
Practice Address - Country:US
Practice Address - Phone:775-507-4064
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-06
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home