Provider Demographics
NPI:1124671417
Name:PERSONAL TOUCH HOME CARE INC.
Entity type:Organization
Organization Name:PERSONAL TOUCH HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIELD SERVICE COORDINATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LEONARDO
Authorized Official - Middle Name:G
Authorized Official - Last Name:HERNANDEZ-GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-565-6547
Mailing Address - Street 1:77 GRANDVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:PORT CHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10573-4795
Mailing Address - Country:US
Mailing Address - Phone:914-565-6547
Mailing Address - Fax:
Practice Address - Street 1:1500 ASTOR AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-5900
Practice Address - Country:US
Practice Address - Phone:347-571-2179
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-17
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty