Provider Demographics
NPI:1518559616
Name:HEALING TOUCH HOME CARE ASSISTANCE
Entity Type:Organization
Organization Name:HEALING TOUCH HOME CARE ASSISTANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:JARVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-532-2911
Mailing Address - Street 1:115 WILLETT AVE APT 19
Mailing Address - Street 2:
Mailing Address - City:SOUTH RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08882-2164
Mailing Address - Country:US
Mailing Address - Phone:201-532-2911
Mailing Address - Fax:
Practice Address - Street 1:115 WILLETT AVE APT 19
Practice Address - Street 2:
Practice Address - City:SOUTH RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08882-2164
Practice Address - Country:US
Practice Address - Phone:201-532-2911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-09
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities