Provider Demographics
NPI:1235665423
Name:PRODUCTIVE DAY CARE, LLC
Entity Type:Organization
Organization Name:PRODUCTIVE DAY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARASH
Authorized Official - Middle Name:
Authorized Official - Last Name:RAHBARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-310-1892
Mailing Address - Street 1:20600 VENTURA BLVD UNIT 2116
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-6671
Mailing Address - Country:US
Mailing Address - Phone:818-310-1892
Mailing Address - Fax:
Practice Address - Street 1:20600 VENTURA BLVD UNIT 2116
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-6671
Practice Address - Country:US
Practice Address - Phone:818-310-1892
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-07
Last Update Date:2017-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service