Healthcare Provider Details

I. General information

NPI: 1467332320
Provider Name (Legal Business Name): VITAL TOUCH HOME CARE INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2025
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 E ROOSEVELT AVE STE 104B
WAKE FOREST NC
27587-2734
US

IV. Provider business mailing address

112 E ROOSEVELT AVE STE 104B
WAKE FOREST NC
27587-2734
US

V. Phone/Fax

Practice location:
  • Phone: 919-336-5406
  • Fax:
Mailing address:
  • Phone: 919-336-5406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: DESIREE FREEMAN
Title or Position: DIRECTOR
Credential:
Phone: 919-336-5406