Provider Demographics
NPI:1700929247
Name:TOUCHSTONE HOME HEALTH LLC
Entity Type:Organization
Organization Name:TOUCHSTONE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:YEATER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-356-3922
Mailing Address - Street 1:5312 WEST 9TH STREET DRIVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-4462
Mailing Address - Country:US
Mailing Address - Phone:970-356-3922
Mailing Address - Fax:970-356-2828
Practice Address - Street 1:5312 WEST 9TH STREET DRIVE
Practice Address - Street 2:SUITE 120
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-4462
Practice Address - Country:US
Practice Address - Phone:970-356-3922
Practice Address - Fax:970-356-2828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO28072766Medicaid
CO067461Medicare ID - Type Unspecified