Provider Demographics
NPI:1558612895
Name:ALTUS HOME HEALTH AGENCY INC
Entity Type:Organization
Organization Name:ALTUS HOME HEALTH AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RUPINDER
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:KHOSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-277-3392
Mailing Address - Street 1:18546 SHERMAN WAY STE 106
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-8676
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:18546 SHERMAN WAY STE 106
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-8676
Practice Address - Country:US
Practice Address - Phone:805-277-3392
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-26
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health