Provider Demographics
NPI:1942289111
Name:PERSONAL TOUCH HOME AIDES OF VA, INC
Entity Type:Organization
Organization Name:PERSONAL TOUCH HOME AIDES OF VA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTRACT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LORIGAY
Authorized Official - Middle Name:
Authorized Official - Last Name:LASKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-468-4747
Mailing Address - Street 1:22215 NORTHERN BLVD
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361-3603
Mailing Address - Country:US
Mailing Address - Phone:718-468-4747
Mailing Address - Fax:718-264-5834
Practice Address - Street 1:5505 ROBIN HOOD RD
Practice Address - Street 2:C-1
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23513-2423
Practice Address - Country:US
Practice Address - Phone:757-855-1355
Practice Address - Fax:757-855-1199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-16
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA8702756Medicaid
VA008772932Medicaid
VA004970811Medicaid