Provider Demographics
NPI:1346946399
Name:TITAN HOMECARE SERVICES, LLC.
Entity Type:Organization
Organization Name:TITAN HOMECARE SERVICES, LLC.
Other - Org Name:TITAN SENIOR SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:NETSY
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:413-563-1061
Mailing Address - Street 1:18 NOBLE STEED XING
Mailing Address - Street 2:
Mailing Address - City:SOUTHWICK
Mailing Address - State:MA
Mailing Address - Zip Code:01077-7900
Mailing Address - Country:US
Mailing Address - Phone:413-563-1061
Mailing Address - Fax:
Practice Address - Street 1:30 BOWDOIN ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01109-4034
Practice Address - Country:US
Practice Address - Phone:413-563-1061
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-01
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health