Healthcare Provider Details
I. General information
NPI: 1073753158
Provider Name (Legal Business Name): HEALTH TOUCH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/02/2009
Last Update Date: 03/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9291 LAUREL GROVE RD 2ND FLOOR
MECHANICSVILLE VA
23116-2969
US
IV. Provider business mailing address
PO BOX 38414
RICHMOND VA
23231
US
V. Phone/Fax
- Phone: 804-439-0344
- Fax:
- Phone: 804-439-0344
- Fax: 804-477-7617
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 305S00000X |
| Taxonomy | Point of Service |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QH0100X |
| Taxonomy | Health Service Clinic/Center |
| License Number | HO8115000 |
| License Number State | VA |
VIII. Authorized Official
Name: MRS.
VERLINE
HOPSON
Title or Position: OWNER
Credential: ASPT
Phone: 804-439-0344