MEDICARE: GOLDEN TOUCH HOME HEALTHCARE, LP

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	2016784	OH

General Provider Information

NPI Number	:	1689967358
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDEN TOUCH HOME HEALTHCARE, LP

Provider Business Mailing Address
First Line	:	6600 CARINTHIA DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45459-1208
Country	:	US
Telephone Number	:	937-331-8300
Fax Number	:

Provider Business Practice Location Address
First Line	:	6600 CARINTHIA DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45459-1208
Country	:	US
Telephone Number	:	937-331-8300
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. MIKE AMIDEUS CHAGUNDA
Credential	:
Telephone Number	:	937-331-8300

Provider Enumeration Date	:	05/27/2011
Last Update Date	:	04/03/2012

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