Healthcare Provider Details
I. General information
NPI: 1659919470
Provider Name (Legal Business Name): INTOUCH HEALTHCARE SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/11/2019
Last Update Date: 06/16/2024
Certification Date: 06/16/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5285 SHAWNEE RD STE 575A
ALEXANDRIA VA
22312-2328
US
IV. Provider business mailing address
2015 MAPLELEAF PL
UPPER MARLBORO MD
20774-5634
US
V. Phone/Fax
- Phone: 240-743-6063
- Fax:
- Phone: 240-593-3656
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
EMMANUEL
OLUJIMI
Title or Position: ADMINISTRATIVE DIRECTOR
Credential:
Phone: 202-415-5985