Provider Demographics
NPI:1104442805
Name:TANYA &STEVE PROFESSIONAL SERVICES INC
Entity type:Organization
Organization Name:TANYA &STEVE PROFESSIONAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TATYANA
Authorized Official - Middle Name:
Authorized Official - Last Name:KRIVITSKY
Authorized Official - Suffix:
Authorized Official - Credentials:OFFICER
Authorized Official - Phone:818-371-3474
Mailing Address - Street 1:4221 COLFAX AVE UNIT F
Mailing Address - Street 2:
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-2952
Mailing Address - Country:US
Mailing Address - Phone:818-371-3474
Mailing Address - Fax:
Practice Address - Street 1:11123 LEMAY ST
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-2008
Practice Address - Country:US
Practice Address - Phone:818-371-3474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAPPY AT HOME RECUPERATIVE CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-06-18
Last Update Date:2020-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management