MEDICARE: QUALITY 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	:	1386173045
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY TOUCH HOME CARE LLC

Provider Business Mailing Address
First Line	:	460 BLOOMFIELD AVE
Second Line	:
City	:	VERONA
State	:	NJ
Zip	:	07044-2006
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	460 BLOOMFIELD AVE
Second Line	:
City	:	VERONA
State	:	NJ
Zip	:	07044-2006
Country	:	US
Telephone Number	:	862-295-7447
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. DION LAMAR CASHAW
Credential	:
Telephone Number	:	862-295-7447

Provider Enumeration Date	:	06/07/2017
Last Update Date	:	01/23/2018

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