Basic Information
| Provider Information | |||||||||
| NPI: | 1700929247 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TOUCHSTONE HOME HEALTH LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5312 WEST 9TH STREET DRIVE | ||||||||
| Address2: | SUITE 120 | ||||||||
| City: | GREELEY | ||||||||
| State: | CO | ||||||||
| PostalCode: | 806344462 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9703563922 | ||||||||
| FaxNumber: | 9703562828 | ||||||||
| Practice Location | |||||||||
| Address1: | 5312 WEST 9TH STREET DRIVE | ||||||||
| Address2: | SUITE 120 | ||||||||
| City: | GREELEY | ||||||||
| State: | CO | ||||||||
| PostalCode: | 806344462 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9703563922 | ||||||||
| FaxNumber: | 9703562828 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/15/2007 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| AuthorizedOfficialLastName: | YEATER | ||||||||
| AuthorizedOfficialFirstName: | JUSTIN | ||||||||
| AuthorizedOfficialMiddleName: | RICHARD | ||||||||
| AuthorizedOfficialTitleorPosition: | MEMBER | ||||||||
| AuthorizedOfficialTelephone: | 9703563922 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | CO | Y | Agencies | Home Health |
ID Information
| ID | Type | State | Issuer | Description | 28072766 | 05 | CO | MEDICAID |