Healthcare Provider Details

I. General information

NPI: 1083068142
Provider Name (Legal Business Name): HEALING TOUCH NURSES GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2016
Last Update Date: 04/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19170 PEMBERTON PL
RIVERSIDE CA
92508-6010
US

IV. Provider business mailing address

19170 PEMBERTON PL
RIVERSIDE CA
92508-6010
US

V. Phone/Fax

Practice location:
  • Phone: 424-200-5789
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: VANESSA BATTLE
Title or Position: OWNER/DIRECTOR
Credential: LVN
Phone: 424-200-5789