Provider Demographics
NPI:1922087337
Name:PERSONAL TOUCH HOME CARE OF INDIANA, INC.
Entity Type:Organization
Organization Name:PERSONAL TOUCH HOME CARE OF INDIANA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD MEMBER/PRESIDENT
Authorized Official - Prefix:MR
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 1:139 W. TATE STREET
Mailing Address - Street 2:SUITE 1
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47025-9998
Mailing Address - Country:US
Mailing Address - Phone:812-637-5428
Mailing Address - Fax:812-637-5439
Practice Address - Street 1:139 W TATE STREET
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:IN
Practice Address - Zip Code:47025-9614
Practice Address - Country:US
Practice Address - Phone:812-637-5428
Practice Address - Fax:812-637-5439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-13
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN050032581251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200409440AMedicaid
IN200503860AMedicaid
IN200409440AMedicaid