Provider Demographics
NPI:1649069105
Name:CHITI, RUTH
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:CHITI
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12650 W WAGON WHEEL DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85307-1764
Mailing Address - Country:US
Mailing Address - Phone:602-748-6055
Mailing Address - Fax:
Practice Address - Street 1:12650 W WAGON WHEEL DR
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85307-1764
Practice Address - Country:US
Practice Address - Phone:602-748-6055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-01
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide