Provider Demographics
NPI:1346210770
Name:PERSONAL TOUCH HOME AIDES OF BALTIMORE, INC
Entity Type:Organization
Organization Name:PERSONAL TOUCH HOME AIDES OF BALTIMORE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTRACT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LORIGAY
Authorized Official - Middle Name:
Authorized Official - Last Name:LASKIN
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:718-264-5834
Practice Address - Street 1:200 E JOPPA RD
Practice Address - Street 2:#103
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-3150
Practice Address - Country:US
Practice Address - Phone:410-321-8448
Practice Address - Fax:410-949-4918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-26
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDHH7058251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD23-3693600Medicaid