Provider Demographics
NPI:1295121051
Name:TOUCH BY AN ANGEL HOME CARE
Entity type:Organization
Organization Name:TOUCH BY AN ANGEL HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-419-3181
Mailing Address - Street 1:5559 N STATE ROAD 7
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33319-2923
Mailing Address - Country:US
Mailing Address - Phone:561-929-1901
Mailing Address - Fax:561-961-4915
Practice Address - Street 1:5559 N STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33319-2923
Practice Address - Country:US
Practice Address - Phone:561-929-1901
Practice Address - Fax:561-961-4915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-08
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL121943600Medicaid