Provider Demographics
NPI:1841499829
Name:THERAPEUTIC COMPREHENSIVE SERVICES
Entity type:Organization
Organization Name:THERAPEUTIC COMPREHENSIVE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF TCS
Authorized Official - Prefix:MS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:VALCARENGHI
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:818-865-8135
Mailing Address - Street 1:5236 COLODNY DR
Mailing Address - Street 2:SUITE # 205
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-2624
Mailing Address - Country:US
Mailing Address - Phone:818-865-8135
Mailing Address - Fax:
Practice Address - Street 1:5236 COLODNY DR
Practice Address - Street 2:SUITE # 205
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-2624
Practice Address - Country:US
Practice Address - Phone:818-865-8135
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-11
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30772438314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility