Provider Demographics
NPI:1275284408
Name:MIRACLE TOUCH HOME CARE LLC
Entity Type:Organization
Organization Name:MIRACLE TOUCH HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAUNICE
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-597-1202
Mailing Address - Street 1:223 E CITY HALL AVE STE 353
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-1723
Mailing Address - Country:US
Mailing Address - Phone:757-597-1202
Mailing Address - Fax:757-299-8091
Practice Address - Street 1:223 E CITY HALL AVE STE 353
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-1723
Practice Address - Country:US
Practice Address - Phone:757-597-1202
Practice Address - Fax:757-299-8091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-10
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NAOtherNA