Provider Demographics
NPI:1770238941
Name:A LOVING TOUCH HOMECARE, LLC
Entity Type:Organization
Organization Name:A LOVING TOUCH HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAQUANTA
Authorized Official - Middle Name:BELONDA
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MENTAL HEALTH COACH,
Authorized Official - Phone:478-262-0915
Mailing Address - Street 1:503 ELBRIDGE DR NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-8137
Mailing Address - Country:US
Mailing Address - Phone:478-262-0915
Mailing Address - Fax:
Practice Address - Street 1:503 ELBRIDGE DR NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-8137
Practice Address - Country:US
Practice Address - Phone:478-262-0915
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA172V00000XMedicaid