Provider Demographics
NPI:1588460620
Name:MIRATOUCH LLC
Entity type:Organization
Organization Name:MIRATOUCH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:OGECHUKWU
Authorized Official - Last Name:JUWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-362-9367
Mailing Address - Street 1:4338 BARHARBOR CT
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-7730
Mailing Address - Country:US
Mailing Address - Phone:317-640-1192
Mailing Address - Fax:
Practice Address - Street 1:4338 BARHARBOR CT
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-7730
Practice Address - Country:US
Practice Address - Phone:317-640-1192
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No332U00000XSuppliersHome Delivered Meals
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN24-016439-1OtherPERSONAL SERVICES AGENCY LICENSE