Provider Demographics
NPI:1760461107
Name:PERSONAL TOUCH HOME CARE OF MASS, INC.
Entity Type:Organization
Organization Name:PERSONAL TOUCH HOME CARE OF MASS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD MEMBER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MARX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-468-4747
Mailing Address - Street 1:150 FRONT STREET
Mailing Address - Street 2:
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089-3100
Mailing Address - Country:US
Mailing Address - Phone:413-747-7344
Mailing Address - Fax:413-747-7348
Practice Address - Street 1:150 FRONT ST
Practice Address - Street 2:
Practice Address - City:W SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-3100
Practice Address - Country:US
Practice Address - Phone:413-747-7344
Practice Address - Fax:413-747-7348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-13
Last Update Date:2017-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA06-03198Medicaid
MA06-03198Medicaid