Provider Demographics
NPI:1750637872
Name:DEFINITIVE TOUCH HOME CARE, PLLC
Entity Type:Organization
Organization Name:DEFINITIVE TOUCH HOME CARE, PLLC
Other - Org Name:DEFINITIVE TOUCH PERSONAL CARE, PLLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/MANAGING MEM
Authorized Official - Prefix:MS
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:LARRIVON
Authorized Official - Last Name:BARNHILL
Authorized Official - Suffix:
Authorized Official - Credentials:MA, NA1, REV
Authorized Official - Phone:252-345-0017
Mailing Address - Street 1:P.O. BOX 144
Mailing Address - Street 2:402 NEWSOME GROVE RD
Mailing Address - City:AHOSKIE
Mailing Address - State:NC
Mailing Address - Zip Code:27910-8811
Mailing Address - Country:US
Mailing Address - Phone:252-345-0017
Mailing Address - Fax:252-345-0012
Practice Address - Street 1:111 E MAIN ST
Practice Address - Street 2:UNIT B
Practice Address - City:AULANDER
Practice Address - State:NC
Practice Address - Zip Code:27805-0011
Practice Address - Country:US
Practice Address - Phone:252-345-0017
Practice Address - Fax:252-345-0012
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DEFINITIVE TOUCH PERSONAL CARE, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-07-26
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
252Y00000X, 372500000X, 372600000X, 3747A0650X, 3747P1801X, 374T00000X, 376K00000X, 376K00000X
NCHC4672253Z00000X, 372600000X, 372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Multi-Specialty
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No374T00000XNursing Service Related ProvidersReligious Nonmedical Nursing PersonnelGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCHC4672OtherHOME CARE LICENSE