Provider Demographics
NPI:1811029408
Name:PRIME TOUCH HOME CARE, INC.
Entity Type:Organization
Organization Name:PRIME TOUCH HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ASUNCION
Authorized Official - Middle Name:C
Authorized Official - Last Name:APAO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:773-780-9396
Mailing Address - Street 1:5875 N LINCOLN AVE STE 129
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-4614
Mailing Address - Country:US
Mailing Address - Phone:773-275-5500
Mailing Address - Fax:773-275-5501
Practice Address - Street 1:5875 N LINCOLN AVE STE 129
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-4614
Practice Address - Country:US
Practice Address - Phone:773-275-5500
Practice Address - Fax:773-275-5501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010681251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1010681OtherSTATE LICENSE FOR HHA