Provider Demographics
NPI:1083594873
Name:1ST TOUCH HOME CARE, INC
Entity type:Organization
Organization Name:1ST TOUCH HOME CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TYMEKA
Authorized Official - Middle Name:D
Authorized Official - Last Name:FREDRICKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-431-0320
Mailing Address - Street 1:1820 HIGHWAY 20 SE STE 114
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30013-2076
Mailing Address - Country:US
Mailing Address - Phone:770-706-2643
Mailing Address - Fax:
Practice Address - Street 1:3376 BARTLETT AVE
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30013-7503
Practice Address - Country:US
Practice Address - Phone:770-706-2643
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health