Provider Demographics
NPI:1750503173
Name:LIFE TOUCH HOME HEALTH SERVICES, LLC.
Entity Type:Organization
Organization Name:LIFE TOUCH HOME HEALTH SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALT ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SAUL
Authorized Official - Middle Name:V
Authorized Official - Last Name:NAVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-664-0106
Mailing Address - Street 1:2215 CORNERSTONE BLVD.
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539
Mailing Address - Country:US
Mailing Address - Phone:956-664-0106
Mailing Address - Fax:956-664-0107
Practice Address - Street 1:2215 CORNERSTONE BLVD.
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539
Practice Address - Country:US
Practice Address - Phone:956-664-0106
Practice Address - Fax:956-664-0107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2190589Medicaid
TX2190589Medicaid