Provider Demographics
NPI:1275198806
Name:GODLY TOUCH PCA AND HOME HEALTH LLC
Entity Type:Organization
Organization Name:GODLY TOUCH PCA AND HOME HEALTH LLC
Other - Org Name:GODLY TOUCH PCA AND HOME HEALTH LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:NORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-354-2007
Mailing Address - Street 1:1015 CENTRAL AVE STE 214C
Mailing Address - Street 2:1015 CENTRAL AVE. SUITE 214C
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-5774
Mailing Address - Country:US
Mailing Address - Phone:504-354-2007
Mailing Address - Fax:504-354-2062
Practice Address - Street 1:1015 CENTRAL AVE STE 214C
Practice Address - Street 2:1015 CENTRAL AVE. SUITE 214C
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-5774
Practice Address - Country:US
Practice Address - Phone:504-354-2007
Practice Address - Fax:504-354-2062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-09
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1275198806OtherNPI