MEDICARE: ANGEL'S TOUCH HOME CARE, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1376762237
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGEL'S TOUCH HOME CARE, LLC

Provider Business Mailing Address
First Line	:	400 INTERSTATE NORTH PKWY SE STE 1600
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-5047
Country	:	US
Telephone Number	:	470-464-8000
Fax Number	:	770-248-8192

Provider Business Practice Location Address
First Line	:	341 WYOMING AVE
Second Line	:	SUITE 2
City	:	WEST PITTSTON
State	:	PA
Zip	:	18643-2839
Country	:	US
Telephone Number	:	570-655-3581
Fax Number	:	570-655-3175

Authorized Official
Title or Position	:	CFO
Name	:	MATTHEW BUCKHALTER
Credential	:
Telephone Number	:	470-464-8000

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	01/27/2025

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