MEDICARE: PERSONAL TOUCH HOME AIDES OF PA, 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	007405	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881664225
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERSONAL TOUCH HOME AIDES OF PA, INC

Provider Business Mailing Address
First Line	:	22215 NORTHERN BLVD
Second Line	:
City	:	BAYSIDE
State	:	NY
Zip	:	11361-3603
Country	:	US
Telephone Number	:	718-468-4747
Fax Number	:	718-264-5834

Provider Business Practice Location Address
First Line	:	259 PITTSBURGH RD
Second Line	:
City	:	BUTLER
State	:	PA
Zip	:	16002-3979
Country	:	US
Telephone Number	:	724-287-6641
Fax Number	:	724-287-0551

Authorized Official
Title or Position	:	CONTRACT MANAGER
Name	:	LORIGAY LASKIN
Credential	:
Telephone Number	:	718-468-4747

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	03/12/2008

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