Provider Demographics
NPI:1619101854
Name:L CHAIM HOME HEALTH CARE
Entity Type:Organization
Organization Name:L CHAIM HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KAATZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-395-0905
Mailing Address - Street 1:15050 SHERMAN WAY
Mailing Address - Street 2:122
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-2127
Mailing Address - Country:US
Mailing Address - Phone:818-395-0905
Mailing Address - Fax:
Practice Address - Street 1:15050 SHERMAN WAY
Practice Address - Street 2:122
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-2127
Practice Address - Country:US
Practice Address - Phone:818-395-0905
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-02
Last Update Date:2009-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0002430158-0001-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health