Provider Demographics
NPI:1326028218
Name:PERSONAL TOUCH HOME CARE OF VA, INC
Entity Type:Organization
Organization Name:PERSONAL TOUCH HOME CARE OF VA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE GENERAL COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLD-WEISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-468-4747
Mailing Address - Street 1:22215 NORTHERN BLVD
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361-3603
Mailing Address - Country:US
Mailing Address - Phone:718-468-4747
Mailing Address - Fax:718-736-7236
Practice Address - Street 1:733 THIMBLE SHOALS BLVD
Practice Address - Street 2:#150
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-4260
Practice Address - Country:US
Practice Address - Phone:757-595-8005
Practice Address - Fax:757-595-9131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-18
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
187025OtherANTHEM HOME CARE
VA8702756Medicaid
VA004970811Medicaid
337222OtherANTHEM HOSPICE
VA008772932Medicaid