Provider Demographics
NPI:1568820181
Name:A TOUCH OF HOME
Entity Type:Organization
Organization Name:A TOUCH OF HOME
Other - Org Name:VICTORY CATHEDRAL
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ALETA
Authorized Official - Middle Name:GRIFFIN
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:973-932-7078
Mailing Address - Street 1:301 TUCKER AVE
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-8915
Mailing Address - Country:US
Mailing Address - Phone:908-686-3333
Mailing Address - Fax:908-686-3383
Practice Address - Street 1:301 TUCKER AVE
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-8915
Practice Address - Country:US
Practice Address - Phone:908-686-3333
Practice Address - Fax:908-686-3383
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PROVISION OF PROMISE ECONOMIC DEVELOPEMENT CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-02-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care