Provider Demographics
NPI:1942496906
Name:MED CARE, INC.
Entity Type:Organization
Organization Name:MED CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LYUDMILA
Authorized Official - Middle Name:
Authorized Official - Last Name:GURMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-739-8907
Mailing Address - Street 1:6047 TAMPA AVE.,
Mailing Address - Street 2:SUITE 304
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356
Mailing Address - Country:US
Mailing Address - Phone:818-336-9811
Mailing Address - Fax:818-812-7832
Practice Address - Street 1:6047 TAMPA AVE.,
Practice Address - Street 2:SUITE 304
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356
Practice Address - Country:US
Practice Address - Phone:818-336-9811
Practice Address - Fax:818-812-7832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-23
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA059140Medicare Oscar/Certification