Healthcare Provider Details

I. General information

NPI: 1205670668
Provider Name (Legal Business Name): TRUE LIVING CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2024
Last Update Date: 06/20/2024
Certification Date: 06/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22740 HATTERAS ST
WOODLAND HILLS CA
91367-4448
US

IV. Provider business mailing address

22740 HATTERAS ST
WOODLAND HILLS CA
91367-4448
US

V. Phone/Fax

Practice location:
  • Phone: 951-580-7888
  • Fax:
Mailing address:
  • Phone: 951-580-7888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3104A0630X
TaxonomyAssisted Living Facility (Behavioral Disturbances)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: CHRISTIAN STEVEN HAVSGAARD
Title or Position: OWNER
Credential:
Phone: 951-580-7888