Provider Demographics
NPI:1801486519
Name:ROSE TOUCH HOME CARE
Entity type:Organization
Organization Name:ROSE TOUCH HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-521-0791
Mailing Address - Street 1:363 CHURCH ST N STE 250T
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-4525
Mailing Address - Country:US
Mailing Address - Phone:704-780-3272
Mailing Address - Fax:
Practice Address - Street 1:363 CHURCH ST N STE 250T
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-4525
Practice Address - Country:US
Practice Address - Phone:704-780-3272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-26
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care