Healthcare Provider Details

I. General information

NPI: 1679970370
Provider Name (Legal Business Name): SAMARITAN'S TOUCH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2014
Last Update Date: 08/31/2021
Certification Date: 08/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6914 WEST APPLETON AVENUE
MILWAUKEE WI
53216
US

IV. Provider business mailing address

6914 WEST APPLETON AVENUE
MILWAUKEE WI
53216
US

V. Phone/Fax

Practice location:
  • Phone: 414-290-7597
  • Fax: 414-434-2627
Mailing address:
  • Phone: 414-290-7597
  • Fax: 414-434-2627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ROSLAND ANNETTE ANDERSON
Title or Position: ADMINISTRATOR
Credential:
Phone: 414-290-7597