MEDICARE: PERSONAL TOUCH HOME CARE OF KY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	150111	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033189345
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERSONAL TOUCH HOME CARE OF KY, INC.

Provider Business Mailing Address
First Line	:	22215 NORTHERN BLVD
Second Line	:
City	:	BAYSIDE
State	:	NY
Zip	:	11361-3603
Country	:	US
Telephone Number	:	718-468-4747
Fax Number	:	718-736-7236

Provider Business Practice Location Address
First Line	:	20 GRAND AVE
Second Line	:
City	:	FT. THOMAS
State	:	KY
Zip	:	41075
Country	:	US
Telephone Number	:	859-441-0200
Fax Number	:	859-441-0537

Authorized Official
Title or Position	:	PRESIDENT/BOARD MEMBER
Name	:	ROBERT MARX
Credential	:	ESQ.
Telephone Number	:	718-468-4747

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	01/11/2018

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