Provider Demographics
NPI:1689851156
Name:TITUS HEALTHCARE LLC
Entity Type:Organization
Organization Name:TITUS HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRINKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-671-9412
Mailing Address - Street 1:3201 BELMONT ST STE 204
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:OH
Mailing Address - Zip Code:43906-1547
Mailing Address - Country:US
Mailing Address - Phone:740-671-9412
Mailing Address - Fax:740-671-9422
Practice Address - Street 1:3201 BELMONT ST STE 204
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:OH
Practice Address - Zip Code:43906-1547
Practice Address - Country:US
Practice Address - Phone:740-671-9412
Practice Address - Fax:740-671-9422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0100340Medicaid