Provider Demographics
NPI:1942794383
Name:RECOVER HOME HEALTH
Entity Type:Organization
Organization Name:RECOVER HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DALI
Authorized Official - Middle Name:
Authorized Official - Last Name:TRIFSKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-358-8833
Mailing Address - Street 1:19531 VENTURA BLVD STE 18
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-2957
Mailing Address - Country:US
Mailing Address - Phone:818-358-8833
Mailing Address - Fax:747-200-2548
Practice Address - Street 1:19531 VENTURA BLVD STE 18
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-2957
Practice Address - Country:US
Practice Address - Phone:818-358-8833
Practice Address - Fax:747-200-2548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-19
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health