MEDICARE: PRIME TOUCH HOME CARE, INC.

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	1010681	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1010681	OTHER	IL	STATE LICENSE FOR HHA

General Provider Information

NPI Number	:	1811029408
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIME TOUCH HOME CARE, INC.

Provider Business Mailing Address
First Line	:	5875 N LINCOLN AVE STE 129
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-4614
Country	:	US
Telephone Number	:	773-275-5500
Fax Number	:	773-275-5501

Provider Business Practice Location Address
First Line	:	5875 N LINCOLN AVE STE 129
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-4614
Country	:	US
Telephone Number	:	773-275-5500
Fax Number	:	773-275-5501

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	ASUNCION C. APAO
Credential	:	RN
Telephone Number	:	773-780-9396

Provider Enumeration Date	:	03/10/2007
Last Update Date	:	08/22/2020

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