Healthcare Provider Details

I. General information

NPI: 1326012139
Provider Name (Legal Business Name): PERSONAL TOUCH HOME CARE OF KY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2006
Last Update Date: 12/06/2022
Certification Date: 12/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1212 N MAIN ST
WILLIAMSTOWN KY
41097-8503
US

IV. Provider business mailing address

22215 NORTHERN BLVD
BAYSIDE NY
11361
US

V. Phone/Fax

Practice location:
  • Phone: 859-824-7168
  • Fax: 859-824-6270
Mailing address:
  • Phone: 718-468-4747
  • Fax: 718-468-5392

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