Healthcare Provider Details

I. General information

NPI: 1639853740
Provider Name (Legal Business Name): TALLUS HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2023
Last Update Date: 06/12/2023
Certification Date: 06/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2654 HONOLULU AVE STE A
MONTROSE CA
91020-1732
US

IV. Provider business mailing address

2654 HONOLULU AVE STE A
MONTROSE CA
91020-1732
US

V. Phone/Fax

Practice location:
  • Phone: 818-858-5548
  • Fax:
Mailing address:
  • Phone: 818-858-5548
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TALINE WARTANIAN
Title or Position: CEO
Credential:
Phone: 818-858-5548