Provider Demographics
NPI:1376241356
Name:DREAM CARE FACILITY INC
Entity type:Organization
Organization Name:DREAM CARE FACILITY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSEE
Authorized Official - Prefix:
Authorized Official - First Name:GEVORG
Authorized Official - Middle Name:
Authorized Official - Last Name:GHOSALMYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:947-777-0770
Mailing Address - Street 1:9849 CANEDO AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-1808
Mailing Address - Country:US
Mailing Address - Phone:947-777-0770
Mailing Address - Fax:
Practice Address - Street 1:9849 CANEDO AVE
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-1808
Practice Address - Country:US
Practice Address - Phone:947-777-0770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility