=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427372416
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | IN TOUCH HOME HEALTH CARELLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/18/2010
-----------------------------------------------------
Last Update Date | 07/09/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11450 TERRY ST
-----------------------------------------------------
City | PLYMOUTH
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48170-4520
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-982-9050
-----------------------------------------------------
Fax | 734-404-6998
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 700922
-----------------------------------------------------
City | PLYMOUTH
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48170-0956
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-982-9050
-----------------------------------------------------
Fax | 734-404-6998
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MS. DEBBIE SMITH
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 248-982-9050
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------