Provider Demographics
NPI:1568851202
Name:DEFINITIVE TOUCH PERSONAL CARE, LLC
Entity type:Organization
Organization Name:DEFINITIVE TOUCH PERSONAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNHILL
Authorized Official - Suffix:
Authorized Official - Credentials:MA, NA1, REV
Authorized Official - Phone:757-912-6949
Mailing Address - Street 1:88 BRENNHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23602-7313
Mailing Address - Country:US
Mailing Address - Phone:757-912-6949
Mailing Address - Fax:252-345-0012
Practice Address - Street 1:88 BRENNHAVEN DR
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602-7313
Practice Address - Country:US
Practice Address - Phone:757-912-6949
Practice Address - Fax:252-345-0012
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DEFINITIVE TOUCH PERSONAL CARE, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-01-19
Last Update Date:2015-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1114335392Medicaid