Provider Demographics
NPI:1881914547
Name:LOVING TOUCH PERSONAL CARE INC
Entity type:Organization
Organization Name:LOVING TOUCH PERSONAL CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/REGISTERED NURSE R116827
Authorized Official - Prefix:MRS
Authorized Official - First Name:NEWTONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:JETER-WIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:410-944-5451
Mailing Address - Street 1:2229 SOUTHLAND RD
Mailing Address - Street 2:
Mailing Address - City:BALTO COUNTY
Mailing Address - State:MD
Mailing Address - Zip Code:21207
Mailing Address - Country:US
Mailing Address - Phone:410-944-5451
Mailing Address - Fax:410-944-1108
Practice Address - Street 1:2229 SOUTHLAND RD
Practice Address - Street 2:
Practice Address - City:BALTO COUNTY
Practice Address - State:MD
Practice Address - Zip Code:21207
Practice Address - Country:US
Practice Address - Phone:410-944-5451
Practice Address - Fax:410-944-1108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-04
Last Update Date:2010-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
163W00000X
MDR2421-RSA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD721602501Medicaid