Provider Demographics
NPI:1396964144
Name:HEAVENLY TOUCH HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:HEAVENLY TOUCH HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERELLE
Authorized Official - Middle Name:VERONICA
Authorized Official - Last Name:PORCHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-294-0163
Mailing Address - Street 1:18848 85TH RD
Mailing Address - Street 2:
Mailing Address - City:HOLLIS
Mailing Address - State:NY
Mailing Address - Zip Code:11423-1124
Mailing Address - Country:US
Mailing Address - Phone:949-294-0163
Mailing Address - Fax:
Practice Address - Street 1:18848 85TH RD
Practice Address - Street 2:
Practice Address - City:HOLLIS
Practice Address - State:NY
Practice Address - Zip Code:11423-1124
Practice Address - Country:US
Practice Address - Phone:949-294-0163
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health