MEDICARE: PERSONAL TOUCH HOME CARE OF INDIANA, 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	050032581	IN
2	251E00000X	Home Health Agency

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922087337
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERSONAL TOUCH HOME CARE OF INDIANA, INC.

Provider Business Mailing Address
First Line	:	139 W. TATE STREET
Second Line	:	SUITE 1
City	:	LAWRENCEBURG
State	:	IN
Zip	:	47025-9998
Country	:	US
Telephone Number	:	812-637-5428
Fax Number	:	812-637-5439

Provider Business Practice Location Address
First Line	:	139 W TATE STREET
Second Line	:
City	:	LAWRENCEBURG
State	:	IN
Zip	:	47025-9614
Country	:	US
Telephone Number	:	812-637-5428
Fax Number	:	812-637-5439

Authorized Official
Title or Position	:	BOARD MEMBER/PRESIDENT
Name	:	MR. ROBERT MARX
Credential	:
Telephone Number	:	718-468-4747

Provider Enumeration Date	:	01/13/2006
Last Update Date	:	04/25/2019

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