Provider Demographics
NPI:1477209096
Name:TITAN HOME HEALTH
Entity Type:Organization
Organization Name:TITAN HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:GUENIOT
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:720-768-8588
Mailing Address - Street 1:31 HONEY LOCUST
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-3543
Mailing Address - Country:US
Mailing Address - Phone:720-768-8588
Mailing Address - Fax:
Practice Address - Street 1:31 HONEY LOCUST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-3543
Practice Address - Country:US
Practice Address - Phone:720-768-8588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-22
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health