Provider Demographics
NPI:1467274423
Name:CK COMMUNITY CARE LLC
Entity type:Organization
Organization Name:CK COMMUNITY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:VI
Authorized Official - Middle Name:CHI
Authorized Official - Last Name:LUU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-819-0629
Mailing Address - Street 1:21322 ANTIGUA LN
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92646-7013
Mailing Address - Country:US
Mailing Address - Phone:714-819-0629
Mailing Address - Fax:
Practice Address - Street 1:21322 ANTIGUA LN
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92646-7013
Practice Address - Country:US
Practice Address - Phone:714-819-0629
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-30
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility