Provider Demographics
NPI:1427118124
Name:PERSONAL TOUCH HOME CARE SERVICES, INC.
Entity type:Organization
Organization Name:PERSONAL TOUCH HOME CARE SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO, PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOLTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-246-3110
Mailing Address - Street 1:PO BOX 305
Mailing Address - Street 2:
Mailing Address - City:STONY CREEK
Mailing Address - State:VA
Mailing Address - Zip Code:23882-0305
Mailing Address - Country:US
Mailing Address - Phone:434-246-3110
Mailing Address - Fax:434-246-4213
Practice Address - Street 1:13001 MAIN STREET
Practice Address - Street 2:
Practice Address - City:STONY CREEK
Practice Address - State:VA
Practice Address - Zip Code:23882
Practice Address - Country:US
Practice Address - Phone:434-246-3110
Practice Address - Fax:434-246-4213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA008702675Medicaid
VA008771324Medicaid