Provider Demographics
NPI:1891946448
Name:ANOINTED TOUCH HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:ANOINTED TOUCH HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:WILLISE
Authorized Official - Last Name:FIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:317-202-0242
Mailing Address - Street 1:2021 E 52ND ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46205-1486
Mailing Address - Country:US
Mailing Address - Phone:317-202-0242
Mailing Address - Fax:
Practice Address - Street 1:2021 E 52ND ST
Practice Address - Street 2:SUITE 206
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46205-1486
Practice Address - Country:US
Practice Address - Phone:317-202-0242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-01
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08114571251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200891860AMedicaid