Provider Demographics
NPI:1497733687
Name:JOLIKIM HOME HEALTH SERVICES INC
Entity Type:Organization
Organization Name:JOLIKIM HOME HEALTH SERVICES INC
Other - Org Name:GLENDALE HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SERAFIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-502-2121
Mailing Address - Street 1:914 N GLENDALE AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91206-2129
Mailing Address - Country:US
Mailing Address - Phone:818-502-2121
Mailing Address - Fax:818-502-2124
Practice Address - Street 1:914 N GLENDALE AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-2129
Practice Address - Country:US
Practice Address - Phone:818-502-2121
Practice Address - Fax:818-502-2124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-06
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA07792FMedicaid
CAHHA07792FMedicaid