Healthcare Provider Details

I. General information

NPI: 1114335932
Provider Name (Legal Business Name): DEFINITIVE TOUCH HOME CARE,PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2014
Last Update Date: 10/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 E MAIN ST UNIT B
AULANDER NC
27805-0011
US

IV. Provider business mailing address

P.O. BOX 144 402 NEWSOME GROVE RD
AHOSKIE NC
27910
US

V. Phone/Fax

Practice location:
  • Phone: 252-642-3860
  • Fax: 252-358-1055
Mailing address:
  • Phone: 252-642-3860
  • Fax: 252-358-1055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberHC4672
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License NumberHC4672
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License NumberHC4672
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License NumberHC4672
License Number StateNC

VIII. Authorized Official

Name: CRYSTAL BARNHILL
Title or Position: OWNER/MANAGING MEMBER
Credential: M.A., N.A.1, REV
Phone: 252-642-3860