Provider Demographics
NPI:1033374202
Name:CDK HOME CARE, INC.
Entity Type:Organization
Organization Name:CDK HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:D
Authorized Official - Last Name:KATIGBAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-482-1232
Mailing Address - Street 1:5050 PALO VERDE ST
Mailing Address - Street 2:SUITE 214
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-2329
Mailing Address - Country:US
Mailing Address - Phone:909-482-1232
Mailing Address - Fax:
Practice Address - Street 1:5050 PALO VERDE ST
Practice Address - Street 2:SUITE 214
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-2329
Practice Address - Country:US
Practice Address - Phone:909-482-1232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-27
Last Update Date:2008-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health