Provider Demographics
NPI:1457882912
Name:EXCEPTIONAL TOUCH HOME HEALTH, LLC
Entity Type:Organization
Organization Name:EXCEPTIONAL TOUCH HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED REPRESENTATIVE
Authorized Official - Prefix:MS
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:C
Authorized Official - Last Name:JAMES-WEATHERSBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-589-0768
Mailing Address - Street 1:PO BOX 6621
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39282-6621
Mailing Address - Country:US
Mailing Address - Phone:601-589-0768
Mailing Address - Fax:
Practice Address - Street 1:300 BYRAM DR
Practice Address - Street 2:APT 31-A
Practice Address - City:BYRAM
Practice Address - State:MS
Practice Address - Zip Code:39272-9259
Practice Address - Country:US
Practice Address - Phone:601-589-0768
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-25
Last Update Date:2017-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1113905251E00000X, 253Z00000X, 347C00000X, 385H00000X, 385HR2060X
385HR2065X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No347C00000XTransportation ServicesPrivate Vehicle
No385H00000XRespite Care FacilityRespite Care
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child