Healthcare Provider Details

I. General information

NPI: 1285991133
Provider Name (Legal Business Name): TOFIYES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2012
Last Update Date: 04/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

577 N D ST SUITE 102
SAN BERNARDINO CA
92401-1324
US

IV. Provider business mailing address

577 N D ST SUITE 102
SAN BERNARDINO CA
92401-1324
US

V. Phone/Fax

Practice location:
  • Phone: 909-381-5060
  • Fax: 909-381-5065
Mailing address:
  • Phone: 909-381-5060
  • Fax: 909-381-5065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. MOPELOLA BEATRICE KEME
Title or Position: CEO
Credential:
Phone: 909-381-5060