Healthcare Provider Details

I. General information

NPI: 1942794383
Provider Name (Legal Business Name): RECOVER HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2018
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17547 VENTURA BLVD STE 202
ENCINO CA
91316-3854
US

IV. Provider business mailing address

17547 VENTURA BLVD STE 202
ENCINO CA
91316-3854
US

V. Phone/Fax

Practice location:
  • Phone: 818-358-8833
  • Fax: 747-200-2548
Mailing address:
  • Phone: 818-358-8833
  • Fax: 747-200-2548

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: DALI TRIFSKIN
Title or Position: CEO
Credential:
Phone: 818-358-8833