Provider Demographics
NPI:1013720473
Name:TACTIX LLC
Entity type:Organization
Organization Name:TACTIX LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:JEREMY
Authorized Official - Last Name:SUCHOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-384-7230
Mailing Address - Street 1:236 N SANTA CRUZ AVE STE 236
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95030-7262
Mailing Address - Country:US
Mailing Address - Phone:408-384-7230
Mailing Address - Fax:
Practice Address - Street 1:236 N SANTA CRUZ AVE STE 236
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95030-7262
Practice Address - Country:US
Practice Address - Phone:408-425-1678
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-29
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care