Provider Demographics
NPI:1063651024
Name:KKB HOME CARE, INC.
Entity Type:Organization
Organization Name:KKB HOME CARE, INC.
Other - Org Name:COMFORT KEEPERS #608
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:SUMIKO
Authorized Official - Last Name:BRUMM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-915-2618
Mailing Address - Street 1:18351 BEACH BLVD. STE. H
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648
Mailing Address - Country:US
Mailing Address - Phone:714-846-3535
Mailing Address - Fax:714-846-3533
Practice Address - Street 1:18351 BEACH BLVD. STE. H
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648
Practice Address - Country:US
Practice Address - Phone:714-846-3535
Practice Address - Fax:714-846-3533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-16
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care