Provider Demographics
NPI:1457443830
Name:SPECIAL TOUCH NURSING SERVICES, INC.
Entity Type:Organization
Organization Name:SPECIAL TOUCH NURSING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:GRAVELY
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:304-744-4940
Mailing Address - Street 1:P.O. BOX 8534
Mailing Address - Street 2:325 FOURTH AVE. SUITE #1
Mailing Address - City:SOUTH CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25303
Mailing Address - Country:US
Mailing Address - Phone:304-744-4940
Mailing Address - Fax:304-744-4948
Practice Address - Street 1:325 FOURTH AVE
Practice Address - Street 2:SUITE #1
Practice Address - City:SOUTH CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25303
Practice Address - Country:US
Practice Address - Phone:304-744-4940
Practice Address - Fax:304-744-4948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2022-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV017419251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0004641001Medicaid
WV517092Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER