Provider Demographics
NPI:1922190511
Name:HEALING TOUCH HOMECARE SERVICES, INC.
Entity Type:Organization
Organization Name:HEALING TOUCH HOMECARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDIE
Authorized Official - Middle Name:D
Authorized Official - Last Name:BUSSEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:405-603-4951
Mailing Address - Street 1:5601 NW 72ND ST
Mailing Address - Street 2:SUITE 246
Mailing Address - City:WARR ACRES
Mailing Address - State:OK
Mailing Address - Zip Code:73132-5931
Mailing Address - Country:US
Mailing Address - Phone:405-603-4951
Mailing Address - Fax:405-603-4952
Practice Address - Street 1:5601 NW 72ND ST
Practice Address - Street 2:SUITE 246
Practice Address - City:WARR ACRES
Practice Address - State:OK
Practice Address - Zip Code:73132-5931
Practice Address - Country:US
Practice Address - Phone:405-603-4951
Practice Address - Fax:405-603-4952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7758251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK377663Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER