Provider Demographics
NPI:1700534302
Name:G AND K HOME CARE INC.
Entity Type:Organization
Organization Name:G AND K HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GOR
Authorized Official - Middle Name:
Authorized Official - Last Name:KHOSTEGHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-354-9575
Mailing Address - Street 1:16430 VANOWEN ST UNIT 204
Mailing Address - Street 2:
Mailing Address - City:LAKE BALBOA
Mailing Address - State:CA
Mailing Address - Zip Code:91406-4729
Mailing Address - Country:US
Mailing Address - Phone:424-354-9575
Mailing Address - Fax:818-350-4123
Practice Address - Street 1:16430 VANOWEN ST UNIT 204
Practice Address - Street 2:
Practice Address - City:LAKE BALBOA
Practice Address - State:CA
Practice Address - Zip Code:91406-4729
Practice Address - Country:US
Practice Address - Phone:424-354-9575
Practice Address - Fax:818-350-4123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-13
Last Update Date:2022-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health