MEDICARE: ONE TOUCH SENIOR CARE LLC

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	253Z00000X	In Home Supportive Care 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	:	1902461825
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONE TOUCH SENIOR CARE LLC

Provider Business Mailing Address
First Line	:	9204 S COMMERCIAL AVE STE 306
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60617-2197
Country	:	US
Telephone Number	:	708-360-3163
Fax Number	:	312-277-1014

Provider Business Practice Location Address
First Line	:	9204 S COMMERCIAL AVE STE 306
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60617-2197
Country	:	US
Telephone Number	:	708-360-3163
Fax Number	:	312-277-1014

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. EBONI LIAS
Credential	:
Telephone Number	:	773-970-7977

Provider Enumeration Date	:	05/06/2019
Last Update Date	:	07/14/2023

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Directions to “ONE TOUCH SENIOR CARE LLC ” Practice Location

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