Provider Demographics
NPI:1093427171
Name:PROACTIVE BILLING & CONSULTING
Entity Type:Organization
Organization Name:PROACTIVE BILLING & CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VINCE
Authorized Official - Middle Name:
Authorized Official - Last Name:KACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-262-6815
Mailing Address - Street 1:14500 ROSCOE BLVD
Mailing Address - Street 2:
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-4190
Mailing Address - Country:US
Mailing Address - Phone:818-262-6815
Mailing Address - Fax:760-392-6674
Practice Address - Street 1:14500 ROSCOE BLVD
Practice Address - Street 2:
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-4190
Practice Address - Country:US
Practice Address - Phone:818-262-6815
Practice Address - Fax:760-392-6674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-20
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No283Q00000XHospitalsPsychiatric Hospital
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1093427171Medicaid