Healthcare Provider Details

I. General information

NPI: 1609689165
Provider Name (Legal Business Name): TOUCH BY AN ANGEL ELDERLY SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2025
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1634 STEVENS ST
QUINCY FL
32351-3557
US

IV. Provider business mailing address

1634 STEVENS ST
QUINCY FL
32351-3557
US

V. Phone/Fax

Practice location:
  • Phone: 850-861-3534
  • Fax:
Mailing address:
  • Phone: 850-861-3534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. ADEEM ALEXIS
Title or Position: OWNER
Credential:
Phone: 850-861-3534