Provider Demographics
NPI:1932740933
Name:HEALING TOUCH HOME CARE LLC
Entity Type:Organization
Organization Name:HEALING TOUCH HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MANGA
Authorized Official - Middle Name:FOMBUH
Authorized Official - Last Name:TITA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-237-0119
Mailing Address - Street 1:7908 CINCINNATI DAYTON RD STE N
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-6629
Mailing Address - Country:US
Mailing Address - Phone:513-237-0119
Mailing Address - Fax:513-805-7050
Practice Address - Street 1:7908 CINCINNATI DAYTON RD STE N
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-6629
Practice Address - Country:US
Practice Address - Phone:513-237-0119
Practice Address - Fax:513-805-7050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-01
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0904730Medicaid