Provider Demographics
NPI:1740736925
Name:TA-KAI HOME CARE, INC.
Entity Type:Organization
Organization Name:TA-KAI HOME CARE, INC.
Other - Org Name:SENIOR HELPERS NORTH ORANGE COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:KEVIN
Authorized Official - Last Name:NAKAMURA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-393-4586
Mailing Address - Street 1:18111 SHADEL DRIVE
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705
Mailing Address - Country:US
Mailing Address - Phone:714-694-0992
Mailing Address - Fax:714-694-0127
Practice Address - Street 1:5130 E LA PALMA AVE STE 209
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-2078
Practice Address - Country:US
Practice Address - Phone:714-694-0992
Practice Address - Fax:714-694-0127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-29
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA304700014253Z00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care