Provider Demographics
NPI:1346632189
Name:DP CARE, INC.
Entity Type:Organization
Organization Name:DP CARE, INC.
Other - Org Name:CASA VALLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKHAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:PATYUK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-765-2273
Mailing Address - Street 1:11321 STAGG ST
Mailing Address - Street 2:
Mailing Address - City:SUN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91352-4469
Mailing Address - Country:US
Mailing Address - Phone:818-765-2273
Mailing Address - Fax:323-654-2104
Practice Address - Street 1:11321 STAGG ST
Practice Address - Street 2:
Practice Address - City:SUN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91352-4469
Practice Address - Country:US
Practice Address - Phone:818-765-2273
Practice Address - Fax:323-654-2104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-03
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities