Healthcare Provider Details

I. General information

NPI: 1801129697
Provider Name (Legal Business Name): TCM HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2009
Last Update Date: 09/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13812 VANOWEN ST 106
VAN NUYS CA
91405-5506
US

IV. Provider business mailing address

13812 VANOWEN ST 106
VAN NUYS CA
91405-5506
US

V. Phone/Fax

Practice location:
  • Phone: 310-227-1383
  • Fax:
Mailing address:
  • Phone: 310-227-1383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: OLGA TROYAN
Title or Position: CEO
Credential:
Phone: 818-257-8603