Provider Demographics
NPI:1124441555
Name:TOUCHED BY AN ANGEL HEALTH CARE CORP
Entity type:Organization
Organization Name:TOUCHED BY AN ANGEL HEALTH CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER CEO
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTMELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-405-9993
Mailing Address - Street 1:1451 ELM HILL PIKE STE 256
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37210-5506
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1451 ELM HILL PIKE STE 256
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37210-5506
Practice Address - Country:US
Practice Address - Phone:615-953-6615
Practice Address - Fax:615-590-7497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-21
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNH445435Medicaid