Healthcare Provider Details

I. General information

NPI: 1427835115
Provider Name (Legal Business Name): TOUCH OF GOLD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2023
Last Update Date: 12/12/2024
Certification Date: 12/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2925 E INDEPENDENCE BLVD STE 203
CHARLOTTE NC
28205-7034
US

IV. Provider business mailing address

2925 E INDEPENDENCE BLVD STE 203
CHARLOTTE NC
28205-7034
US

V. Phone/Fax

Practice location:
  • Phone: 980-428-9668
  • Fax:
Mailing address:
  • Phone: 980-428-9668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MARK T POTTS
Title or Position: OWNER
Credential:
Phone: 980-428-9668