Provider Demographics
NPI:1639827694
Name:TRUE CAREGIVING OF NORTHERN CALIFORNIA, LLC
Entity type:Organization
Organization Name:TRUE CAREGIVING OF NORTHERN CALIFORNIA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TALI
Authorized Official - Middle Name:
Authorized Official - Last Name:FAYFEL
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:818-762-7171
Mailing Address - Street 1:7355 TOPANGA CANYON BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-1244
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4813 EL CAMINO AVE STE B
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-4966
Practice Address - Country:US
Practice Address - Phone:855-770-8783
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-17
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA344700088OtherDEPARTMENT OF SOCIAL SERVICES