Provider Demographics
NPI:1073271441
Name:MY FATHERS TOUCH IN HOME CARE LLC
Entity Type:Organization
Organization Name:MY FATHERS TOUCH IN HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAVIS
Authorized Official - Middle Name:L
Authorized Official - Last Name:MANIGAULT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-779-4037
Mailing Address - Street 1:3618 ASHLEY PHOSPHATE RD STE 7
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29418-8586
Mailing Address - Country:US
Mailing Address - Phone:843-777-9403
Mailing Address - Fax:843-608-4037
Practice Address - Street 1:3618 ASHLEY PHOSPHATE RD STE 7
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29418-8586
Practice Address - Country:US
Practice Address - Phone:843-779-4037
Practice Address - Fax:843-608-7371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-02
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care
No385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child