Provider Demographics
NPI:1851083323
Name:CTSH LLC
Entity Type:Organization
Organization Name:CTSH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:PARKER
Authorized Official - Middle Name:
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-264-3447
Mailing Address - Street 1:640 N TUSTIN AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-3783
Mailing Address - Country:US
Mailing Address - Phone:949-916-6705
Mailing Address - Fax:949-916-6785
Practice Address - Street 1:640 N TUSTIN AVE STE 201
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-3783
Practice Address - Country:US
Practice Address - Phone:949-916-6705
Practice Address - Fax:949-916-6785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care