Provider Demographics
NPI:1093257321
Name:RK SERVICES, INC
Entity Type:Organization
Organization Name:RK SERVICES, INC
Other - Org Name:HOMEWATCH CAREGIVERS OF THOUSAND OAKS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-551-1141
Mailing Address - Street 1:3717 E THOUSAND OAKS BLVD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-3607
Mailing Address - Country:US
Mailing Address - Phone:805-551-1141
Mailing Address - Fax:805-728-6192
Practice Address - Street 1:3717 E THOUSAND OAKS BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-3607
Practice Address - Country:US
Practice Address - Phone:805-551-1141
Practice Address - Fax:805-728-6192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-17
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHCO# 564700012253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care