Provider Demographics
NPI:1083179329
Name:SAFE TOUCH HOME CARE
Entity Type:Organization
Organization Name:SAFE TOUCH HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERES
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANDLER
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:662-295-7520
Mailing Address - Street 1:43 SCHOOL BUS DR
Mailing Address - Street 2:
Mailing Address - City:MABEN
Mailing Address - State:MS
Mailing Address - Zip Code:39750-9408
Mailing Address - Country:US
Mailing Address - Phone:166-229-5752
Mailing Address - Fax:
Practice Address - Street 1:43 SCHOOL BUS DR
Practice Address - Street 2:
Practice Address - City:MABEN
Practice Address - State:MS
Practice Address - Zip Code:39750-9408
Practice Address - Country:US
Practice Address - Phone:662-295-7520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAFE TOUCH HOME CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-31
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251J00000XAgenciesNursing Care
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Single Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty