Provider Demographics
NPI:1275143166
Name:PURE TOUCH HOME HEALTH LLC
Entity Type:Organization
Organization Name:PURE TOUCH HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:RUFARO
Authorized Official - Middle Name:
Authorized Official - Last Name:OWASANOYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-929-7195
Mailing Address - Street 1:2059 W 82ND ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60620-5343
Mailing Address - Country:US
Mailing Address - Phone:312-929-7195
Mailing Address - Fax:
Practice Address - Street 1:2059 W 82ND ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60620-5343
Practice Address - Country:US
Practice Address - Phone:312-929-7195
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-05
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health