Healthcare Provider Details

I. General information

NPI: 1033189345
Provider Name (Legal Business Name): PERSONAL TOUCH HOME CARE OF KY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2006
Last Update Date: 01/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 GRAND AVE
FT. THOMAS KY
41075
US

IV. Provider business mailing address

22215 NORTHERN BLVD
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: 718-736-7236

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: ROBERT MARX
Title or Position: PRESIDENT/BOARD MEMBER
Credential: ESQ.
Phone: 718-468-4747