Provider Demographics
NPI:1245238500
Name:ATTENTIVE SERVICES HOME HEALTH, INC.
Entity Type:Organization
Organization Name:ATTENTIVE SERVICES HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:TULIVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-448-5502
Mailing Address - Street 1:9801 2ND AVENUE
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90305-4126
Mailing Address - Country:US
Mailing Address - Phone:323-655-0080
Mailing Address - Fax:866-574-3020
Practice Address - Street 1:8425 W 3RD STREET
Practice Address - Street 2:#403
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048
Practice Address - Country:US
Practice Address - Phone:323-655-0080
Practice Address - Fax:866-574-3020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-11
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA980001338251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA08087FMedicaid
CACGP170883OtherCCS
CAZZZ05608ZOtherBLUE SHIELD
CACGP170883OtherCCS