Provider Demographics
NPI:1659350072
Name:HOUSTON PERSONAL TOUCH HOME AIDES INC.
Entity Type:Organization
Organization Name:HOUSTON PERSONAL TOUCH HOME AIDES INC.
Other - Org Name:SAN ANTONIO PERSONAL TOUCH HOME AIDES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER, ASST. GENERAL COUNSEL
Authorized Official - Prefix:MS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLD-WEISS
Authorized Official - Suffix:
Authorized Official - Credentials:RPAC-JD
Authorized Official - Phone:718-468-4747
Mailing Address - Street 1:22215 NORTHERN BLVD
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361-3603
Mailing Address - Country:US
Mailing Address - Phone:718-468-4747
Mailing Address - Fax:718-264-5834
Practice Address - Street 1:40 NE LOOP 410
Practice Address - Street 2:#305
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-5828
Practice Address - Country:US
Practice Address - Phone:210-341-5705
Practice Address - Fax:210-342-9057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-13
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000521251E00000X, 3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000091700Medicaid