Provider Demographics
NPI:1689299851
Name:TOUCHING HEARTS AT HOME
Entity Type:Organization
Organization Name:TOUCHING HEARTS AT HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WALLER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:540-684-2474
Mailing Address - Street 1:816 N LAKESHORE DR
Mailing Address - Street 2:
Mailing Address - City:LOUISA
Mailing Address - State:VA
Mailing Address - Zip Code:23093-7020
Mailing Address - Country:US
Mailing Address - Phone:540-894-6349
Mailing Address - Fax:
Practice Address - Street 1:102 CHURCH AVE
Practice Address - Street 2:
Practice Address - City:LOUISA
Practice Address - State:VA
Practice Address - Zip Code:23093
Practice Address - Country:US
Practice Address - Phone:540-684-2474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-12
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAHCO-2320OtherVIRGINIA DEPARTMENT OF HEALTH