Provider Demographics
NPI:1386623072
Name:PERSONAL TOUCH HOME AIDES INC.
Entity type:Organization
Organization Name:PERSONAL TOUCH HOME AIDES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MARX
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:718-468-4747
Mailing Address - Street 1:68 TADMUCK ROAD
Mailing Address - Street 2:UNIT 5
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886-3136
Mailing Address - Country:US
Mailing Address - Phone:718-468-4747
Mailing Address - Fax:718-264-5834
Practice Address - Street 1:68 TADMUCK
Practice Address - Street 2:UNIT 5
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886-3136
Practice Address - Country:US
Practice Address - Phone:978-251-0170
Practice Address - Fax:978-251-3024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-11
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA06-05727Medicaid
MA06-05727Medicaid