Provider Demographics
NPI:1912525296
Name:WRIGHT TOUCH HOME HEALTH
Entity Type:Organization
Organization Name:WRIGHT TOUCH HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SHAMBREA
Authorized Official - Middle Name:LASHAY
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:863-268-5777
Mailing Address - Street 1:217 W POLK ST APT 16
Mailing Address - Street 2:
Mailing Address - City:AUBURNDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33823-3535
Mailing Address - Country:US
Mailing Address - Phone:863-268-5777
Mailing Address - Fax:
Practice Address - Street 1:217 W POLK ST APT 16
Practice Address - Street 2:
Practice Address - City:AUBURNDALE
Practice Address - State:FL
Practice Address - Zip Code:33823-3535
Practice Address - Country:US
Practice Address - Phone:863-268-5777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-13
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL017231800Medicaid
FL018329700Medicaid