MEDICARE: PERFECT TOUCH HOME CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	3747P1801X	Personal Care Attendant
2	385H00000X	Respite Care
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1336853001
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERFECT TOUCH HOME CARE, LLC

Provider Business Mailing Address
First Line	:	707 GITTINGS ST STE 100D
Second Line	:
City	:	SUFFOLK
State	:	VA
Zip	:	23434-6155
Country	:	US
Telephone Number	:	757-803-1409
Fax Number	:	757-809-0107

Provider Business Practice Location Address
First Line	:	707 GITTINGS ST STE 100D
Second Line	:
City	:	SUFFOLK
State	:	VA
Zip	:	23434-6155
Country	:	US
Telephone Number	:	757-809-1409
Fax Number	:	757-809-0107

Authorized Official
Title or Position	:	OWNER
Name	:	KA'DEEM RIDDICK
Credential	:
Telephone Number	:	757-809-1409

Provider Enumeration Date	:	01/09/2023
Last Update Date	:	02/16/2024

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