Provider Demographics
NPI:1669610077
Name:CITY OF DREAMS HOME HEALTH CARE INC.
Entity type:Organization
Organization Name:CITY OF DREAMS HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:NAIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:TSHOROKHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-520-3036
Mailing Address - Street 1:5924 E LOS ANGELES AVE STE P
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93063-5526
Mailing Address - Country:US
Mailing Address - Phone:805-520-3036
Mailing Address - Fax:805-520-3037
Practice Address - Street 1:5924 E LOS ANGELES AVE STE P
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-5526
Practice Address - Country:US
Practice Address - Phone:805-520-3036
Practice Address - Fax:805-520-3037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-23
Last Update Date:2009-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA163WH0200X251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health