Healthcare Provider Details
I. General information
NPI: 1588484414
Provider Name (Legal Business Name): POLITE TOUCH HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/15/2024
Last Update Date: 12/14/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5736 N TRYON ST STE 213A
CHARLOTTE NC
28213-6889
US
IV. Provider business mailing address
5736 N TRYON ST STE 213A
CHARLOTTE NC
28213-6889
US
V. Phone/Fax
- Phone: 980-729-3654
- Fax:
- Phone: 980-729-3654
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LAQUISHA
ERIKA
DAVIS
Title or Position: OWNER & DIRECTOR
Credential:
Phone: 980-729-3654