Provider Demographics
NPI:1003352220
Name:KAVIS HEALTHCARE
Entity Type:Organization
Organization Name:KAVIS HEALTHCARE
Other - Org Name:HOME INSTEAD SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KARAKUNNEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-235-3849
Mailing Address - Street 1:3660 WILSHIRE BLVD STE 311
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-2716
Mailing Address - Country:US
Mailing Address - Phone:323-466-2345
Mailing Address - Fax:323-466-2195
Practice Address - Street 1:3660 WILSHIRE BLVD STE 311
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-2716
Practice Address - Country:US
Practice Address - Phone:323-466-2345
Practice Address - Fax:323-466-2195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-11
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA194700387253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care