Healthcare Provider Details

I. General information

NPI: 1669610077
Provider Name (Legal Business Name): CITY OF DREAMS HOME HEALTH CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2009
Last Update Date: 01/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5924 E LOS ANGELES AVE STE P
SIMI VALLEY CA
93063-5526
US

IV. Provider business mailing address

5924 E LOS ANGELES AVE STE P
SIMI VALLEY CA
93063-5526
US

V. Phone/Fax

Practice location:
  • Phone: 805-520-3036
  • Fax: 805-520-3037
Mailing address:
  • Phone: 805-520-3036
  • Fax: 805-520-3037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number163WH0200X
License Number StateCA

VIII. Authorized Official

Name: MRS. NAIRA TSHOROKHYAN
Title or Position: CEO
Credential:
Phone: 805-520-3036