Provider Demographics
NPI:1659745123
Name:CKPRMGMT INC
Entity Type:Organization
Organization Name:CKPRMGMT INC
Other - Org Name:ANGELICA HOME CARE FACILITIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CYRUS
Authorized Official - Middle Name:
Authorized Official - Last Name:KANGARLU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-721-4169
Mailing Address - Street 1:1000 NEWBURY RD
Mailing Address - Street 2:SUITE 110B
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91320-6435
Mailing Address - Country:US
Mailing Address - Phone:310-721-4169
Mailing Address - Fax:805-499-4747
Practice Address - Street 1:1000 NEWBURY RD
Practice Address - Street 2:SUITE 110B
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91320-6435
Practice Address - Country:US
Practice Address - Phone:310-721-4169
Practice Address - Fax:805-499-4747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-21
Last Update Date:2015-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care