Provider Demographics
NPI:1922421502
Name:HEALING TOUCH HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:HEALING TOUCH HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MANGA
Authorized Official - Middle Name:FOMBUH
Authorized Official - Last Name:TITA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-237-0119
Mailing Address - Street 1:8336 MEETING ST
Mailing Address - Street 2:#113
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-5165
Mailing Address - Country:US
Mailing Address - Phone:513-237-0119
Mailing Address - Fax:
Practice Address - Street 1:8336 MEETING ST
Practice Address - Street 2:#113
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-5165
Practice Address - Country:US
Practice Address - Phone:513-237-0119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-02
Last Update Date:2014-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0904730251C00000X
OH253J00000X, 253Z00000X, 320900000X, 343900000X, 347C00000X, 385HR2060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No253J00000XAgenciesFoster Care Agency
No253Z00000XAgenciesIn Home Supportive Care
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0094007Medicaid