Provider Demographics
NPI:1255448700
Name:PERSONAL TOUCH HOME CARE OF GREATER PORTSMOUTH, INC.
Entity type:Organization
Organization Name:PERSONAL TOUCH HOME CARE OF GREATER PORTSMOUTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD MEMBER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MARX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-468-4747
Mailing Address - Street 1:1985 MARCUS AVENUE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LAKE SUCCESS
Mailing Address - State:NY
Mailing Address - Zip Code:11042-2029
Mailing Address - Country:US
Mailing Address - Phone:718-468-4747
Mailing Address - Fax:718-264-5834
Practice Address - Street 1:5 DARTMOUTH DR
Practice Address - Street 2:SUITE #303
Practice Address - City:AUBURN
Practice Address - State:NH
Practice Address - Zip Code:03032-3984
Practice Address - Country:US
Practice Address - Phone:603-437-8239
Practice Address - Fax:603-437-8549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2017-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH03059251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH307078Medicare Oscar/Certification