MEDICARE: PERSONAL TOUCH HOME CARE OF OHIO, 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

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

General Provider Information

NPI Number	:	1598744955
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERSONAL TOUCH HOME CARE OF OHIO, INC

Provider Business Mailing Address
First Line	:	4500 ROCKSIDE ROAD
Second Line	:	SUITE 460
City	:	INDEPENDENCE
State	:	OH
Zip	:	44131-6822
Country	:	US
Telephone Number	:	216-986-0885
Fax Number	:	216-986-0955

Provider Business Practice Location Address
First Line	:	4500 ROCKSIDE RD
Second Line	:	#460
City	:	INDEPENDENCE
State	:	OH
Zip	:	44131-2131
Country	:	US
Telephone Number	:	216-986-0885
Fax Number	:	216-986-0955

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROBERT MARX
Credential	:
Telephone Number	:	718-468-4747

Provider Enumeration Date	:	01/13/2006
Last Update Date	:	08/29/2017

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