Provider Demographics
NPI:1508500992
Name:ALTRUISTIC TOUCH HOME CARE LLC
Entity Type:Organization
Organization Name:ALTRUISTIC TOUCH HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TAYLOR
Authorized Official - Middle Name:
Authorized Official - Last Name:NIEWIADOMSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-960-0161
Mailing Address - Street 1:3719 20TH ST E
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208-4808
Mailing Address - Country:US
Mailing Address - Phone:941-960-0161
Mailing Address - Fax:
Practice Address - Street 1:3719 20TH ST E
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-4808
Practice Address - Country:US
Practice Address - Phone:941-960-0161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-22
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCOMPANIONOtherHOMEMAKER
FLCOMPANIONMedicaid