Provider Demographics
NPI:1952892861
Name:K.K.A. HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:K.K.A. HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERIK
Authorized Official - Middle Name:
Authorized Official - Last Name:HARUTYUNYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-655-0305
Mailing Address - Street 1:8925 SEPULVEDA BLVD STE 213
Mailing Address - Street 2:
Mailing Address - City:NORTH HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91343-4354
Mailing Address - Country:US
Mailing Address - Phone:818-655-0305
Mailing Address - Fax:818-334-8767
Practice Address - Street 1:8925 SEPULVEDA BLVD STE 213
Practice Address - Street 2:
Practice Address - City:NORTH HILLS
Practice Address - State:CA
Practice Address - Zip Code:91343-4354
Practice Address - Country:US
Practice Address - Phone:818-655-0305
Practice Address - Fax:818-334-8767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-25
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health