Healthcare Provider Details

I. General information

NPI: 1376712018
Provider Name (Legal Business Name): PERSONAL TOUCH HOME CARE OF KY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2008
Last Update Date: 12/06/2022
Certification Date: 12/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 N GRAND AVE
FORT THOMAS KY
41075-4106
US

IV. Provider business mailing address

22215 NORTHERN BLVD 3RD FLOOR
BAYSIDE NY
11361-3603
US

V. Phone/Fax

Practice location:
  • Phone: 859-441-0200
  • Fax: 859-441-0537
Mailing address:
  • Phone: 718-468-4747
  • Fax: 718-264-5834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number150111
License Number StateKY

VIII. Authorized Official

Name: LORIGAY LASKIN
Title or Position: CONTRACT MANAGER
Credential:
Phone: 718-468-4747