Healthcare Provider Details
I. General information
NPI: 1457291098
Provider Name (Legal Business Name): MYESTOUCHLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6211 SEABREEZE DR
PORT RICHEY FL
34668-3547
US
IV. Provider business mailing address
6211 SEABREEZE DR
PORT RICHEY FL
34668-3547
US
V. Phone/Fax
- Phone: 727-809-6764
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251C00000X |
| Taxonomy | Developmentally Disabled Services Day Training Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QD1600X |
| Taxonomy | Developmental Disabilities Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARIAH
CARD
Title or Position: OWNER/PERSONALSUPPORT
Credential:
Phone: 727-809-6764