Provider Demographics
NPI:1861072217
Name:HEALING TOUCH HOME CARE LLC
Entity type:Organization
Organization Name:HEALING TOUCH HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:VITALIY
Authorized Official - Middle Name:
Authorized Official - Last Name:TYUKAYENKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-841-9820
Mailing Address - Street 1:PO BOX 872585
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99687-2585
Mailing Address - Country:US
Mailing Address - Phone:907-841-9820
Mailing Address - Fax:
Practice Address - Street 1:522 S MCKINLEY ST
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-8119
Practice Address - Country:US
Practice Address - Phone:907-841-9820
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-10
Last Update Date:2021-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health