Provider Demographics
NPI:1447522685
Name:PREFERRED TOUCH HOME CARE, INC
Entity type:Organization
Organization Name:PREFERRED TOUCH HOME CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GENNADY
Authorized Official - Middle Name:
Authorized Official - Last Name:KATSNELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-415-6167
Mailing Address - Street 1:510 VONDERBURG DR
Mailing Address - Street 2:STE 308
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-5954
Mailing Address - Country:US
Mailing Address - Phone:813-702-1100
Mailing Address - Fax:813-685-8973
Practice Address - Street 1:510 VONDERBURG DRIVE
Practice Address - Street 2:STE 308
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511
Practice Address - Country:US
Practice Address - Phone:813-702-1100
Practice Address - Fax:813-685-8973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-03
Last Update Date:2015-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL103180OtherMEDICARE PTAN
FL006118300Medicaid