Provider Demographics
NPI:1801129697
Name:TCM HOME HEALTH
Entity type:Organization
Organization Name:TCM HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:
Authorized Official - Last Name:TROYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-257-8603
Mailing Address - Street 1:13812 VANOWEN ST
Mailing Address - Street 2:106
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-5506
Mailing Address - Country:US
Mailing Address - Phone:310-227-1383
Mailing Address - Fax:
Practice Address - Street 1:13812 VANOWEN ST
Practice Address - Street 2:106
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-5506
Practice Address - Country:US
Practice Address - Phone:310-227-1383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-10
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health