Provider Demographics
NPI: | 1508974221 |
---|---|
Name: | HUMAN TOUCH, INC |
Entity type: | Organization |
Organization Name: | HUMAN TOUCH, INC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | ADMINISTRTOR/PRESIDENT |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | HIRUT |
Authorized Official - Middle Name: | RUTH |
Authorized Official - Last Name: | AMENU |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 703-531-0540 |
Mailing Address - Street 1: | 113 PARK AVE |
Mailing Address - Street 2: | SUITE 300 |
Mailing Address - City: | FALLS CHURCH |
Mailing Address - State: | VA |
Mailing Address - Zip Code: | 22046-4327 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 703-531-0540 |
Mailing Address - Fax: | 703-531-0545 |
Practice Address - Street 1: | 113 PARK AVE |
Practice Address - Street 2: | SUITE 300 |
Practice Address - City: | FALLS CHURCH |
Practice Address - State: | VA |
Practice Address - Zip Code: | 22046-4523 |
Practice Address - Country: | US |
Practice Address - Phone: | 703-531-0540 |
Practice Address - Fax: | 703-531-0545 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-08-25 |
Last Update Date: | 2009-06-16 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251E00000X | Agencies | Home Health |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
VA | 4974743 | Medicaid | |
VA | 4974743 | Medicaid |