=====================================================
General NPI Number Information
=====================================================
NPI Number | 1194169706
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TOUCHED BY AN ANGEL
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/25/2013
-----------------------------------------------------
Last Update Date | 04/25/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1022 CHESTNUT ST
-----------------------------------------------------
City | PALMER
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01069-1804
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 413-284-1601
-----------------------------------------------------
Fax | 413-289-6273
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1022 CHESTNUT ST
-----------------------------------------------------
City | PALMER
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01069-1804
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 413-284-1601
-----------------------------------------------------
Fax | 413-289-6273
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | HELENA STEPHENS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 413-284-1601
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------