Provider Demographics
NPI:1174578389
Name:TOUCHING LIVES HOMECARE SERVICES
Entity type:Organization
Organization Name:TOUCHING LIVES HOMECARE SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADFMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KOU
Authorized Official - Middle Name:LILA
Authorized Official - Last Name:SUMWABE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-628-0210
Mailing Address - Street 1:235 GARRISONVILLE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-1552
Mailing Address - Country:US
Mailing Address - Phone:540-628-0210
Mailing Address - Fax:540-628-0211
Practice Address - Street 1:235 GARRISONVILLE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-1552
Practice Address - Country:US
Practice Address - Phone:540-628-0210
Practice Address - Fax:540-628-0211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA8704252Medicaid
VA8704252Medicaid