Provider Demographics
NPI:1477844645
Name:HANKARE HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:HANKARE HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:V
Authorized Official - Last Name:INNIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-863-5177
Mailing Address - Street 1:7045 KITTYHAWK AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-2103
Mailing Address - Country:US
Mailing Address - Phone:310-435-7169
Mailing Address - Fax:310-215-9240
Practice Address - Street 1:7045 KITTYHAWK AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90045-2103
Practice Address - Country:US
Practice Address - Phone:310-435-7169
Practice Address - Fax:310-215-9240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-22
Last Update Date:2011-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health