Provider Demographics
NPI:1114382967
Name:A CARING TOUCH FOR SENIORS LLC
Entity Type:Organization
Organization Name:A CARING TOUCH FOR SENIORS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHARITY
Authorized Official - Middle Name:MAGDALENE
Authorized Official - Last Name:BURNSIDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-677-7800
Mailing Address - Street 1:4800 VICTORIA LN
Mailing Address - Street 2:
Mailing Address - City:AUSTELL
Mailing Address - State:GA
Mailing Address - Zip Code:30106-1667
Mailing Address - Country:US
Mailing Address - Phone:678-677-7800
Mailing Address - Fax:678-402-1449
Practice Address - Street 1:4800 VICTORIA LN
Practice Address - Street 2:
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30106-1667
Practice Address - Country:US
Practice Address - Phone:770-627-4748
Practice Address - Fax:678-402-1449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-22
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA033-R-1359253Z00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care