Provider Demographics
NPI:1336128636
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:BOARD MEMBER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MARX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-468-4747
Mailing Address - Street 1:11817 CANON BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-4516
Mailing Address - Country:US
Mailing Address - Phone:718-468-4747
Mailing Address - Fax:718-264-5834
Practice Address - Street 1:11817 CANON BLVD STE 300
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-4516
Practice Address - Country:US
Practice Address - Phone:757-855-1355
Practice Address - Fax:757-855-1199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-13
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA004970811Medicaid
041852OtherANTHEM HOME CARE
337224OtherANTHEM HOSPICE
VA004970811Medicaid