Provider Demographics
NPI:1497966014
Name:ANGEL TOUCH CARE LLC
Entity Type:Organization
Organization Name:ANGEL TOUCH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:ODSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-677-2705
Mailing Address - Street 1:42 FARMINGTON CHASE
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032
Mailing Address - Country:US
Mailing Address - Phone:860-677-2705
Mailing Address - Fax:860-676-2866
Practice Address - Street 1:42 FARMINGTON CHASE
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032
Practice Address - Country:US
Practice Address - Phone:860-677-2705
Practice Address - Fax:860-676-2866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered332U00000XSuppliersHome Delivered Meals
Not Answered372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
Not Answered376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTHCA0000136OtherDEPT OF CONSUMER PROTEC
CT4218138OtherCCCI