Provider Demographics
NPI:1639478878
Name:TITUS SENIOR HOME HEALTH, INC.
Entity Type:Organization
Organization Name:TITUS SENIOR HOME HEALTH, INC.
Other - Org Name:SENIORS HOSPICE, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-988-8087
Mailing Address - Street 1:14621 TITUS ST
Mailing Address - Street 2:STE 204
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91402-4905
Mailing Address - Country:US
Mailing Address - Phone:818-988-8087
Mailing Address - Fax:818-988-8013
Practice Address - Street 1:14621 TITUS ST
Practice Address - Street 2:STE 204
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91402-4905
Practice Address - Country:US
Practice Address - Phone:818-988-8087
Practice Address - Fax:818-988-8013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-25
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based