Healthcare Provider Details

I. General information

NPI: 1659028819
Provider Name (Legal Business Name): TITAN HOME HEALTH CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2022
Last Update Date: 03/08/2022
Certification Date: 03/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6320 VAN NUYS BLVD STE 205
VAN NUYS CA
91401-6634
US

IV. Provider business mailing address

6320 VAN NUYS BLVD STE 205
VAN NUYS CA
91401-6634
US

V. Phone/Fax

Practice location:
  • Phone: 747-222-3993
  • Fax: 818-484-3903
Mailing address:
  • Phone: 747-222-3993
  • Fax: 818-484-3903

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: YANA ROSTOMYAN
Title or Position: CEO
Credential:
Phone: 747-222-3993