Provider Demographics
NPI:1306338009
Name:VICKI'S CARING TOUCH LLC
Entity type:Organization
Organization Name:VICKI'S CARING TOUCH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:DOMINIQUE
Authorized Official - Middle Name:INEZ
Authorized Official - Last Name:MOSELEY
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN
Authorized Official - Phone:773-727-2052
Mailing Address - Street 1:3008 E CHELTENHAM PL APT 706
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60649-4854
Mailing Address - Country:US
Mailing Address - Phone:773-727-2052
Mailing Address - Fax:
Practice Address - Street 1:3008 E CHELTENHAM PL APT 706
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60649-4854
Practice Address - Country:US
Practice Address - Phone:773-727-2052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-30
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No251J00000XAgenciesNursing Care
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty