Provider Demographics
NPI:1336889898
Name:COZY HOME SENIOR CARE INC.
Entity Type:Organization
Organization Name:COZY HOME SENIOR CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CZARINA
Authorized Official - Middle Name:S
Authorized Official - Last Name:DUMALIANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-308-0925
Mailing Address - Street 1:5908 PREMIERE AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90712-1315
Mailing Address - Country:US
Mailing Address - Phone:310-308-0825
Mailing Address - Fax:949-583-9365
Practice Address - Street 1:22272 TERNI
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1836
Practice Address - Country:US
Practice Address - Phone:949-583-9365
Practice Address - Fax:949-583-9365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-31
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility