=====================================================
General NPI Number Information
=====================================================
NPI Number | 1245238500
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ATTENTIVE SERVICES HOME HEALTH, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/11/2005
-----------------------------------------------------
Last Update Date | 06/23/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8425 W 3RD STREET #403
-----------------------------------------------------
City | LOS ANGELES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90048
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 323-655-0080
-----------------------------------------------------
Fax | 866-574-3020
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9801 2ND AVENUE
-----------------------------------------------------
City | INGLEWOOD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90305-4126
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 323-655-0080
-----------------------------------------------------
Fax | 866-574-3020
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OFFICE MANAGER
-----------------------------------------------------
Name | MRS. MARILYN TULIVA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 213-448-5502
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 980001338
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------