# KG HOME CARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 1Heart Caregiver Services Beverly Hills
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821540840
- **Authorized official:** MR. KAMRAN GHASRI (CEO)
- **Authorized official phone:** (323) 456-8645

## Contact information

- **Practice address:** 8383 WILSHIRE BLVD, STE 800, BEVERLY HILLS, CA 90211-2425
- **Practice address phone:** (323) 561-5658
- **Practice address fax:** (323) 879-4282
- **Mailing address:** 8383 WILSHIRE BLVD, STE 800, BEVERLY HILLS, CA 90211-2425
- **Mailing address phone:** (323) 561-5658
- **Mailing address fax:** (323) 879-4282

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251T00000X | PACE Provider Organization | 194700107 | CA | — |
| 253Z00000X | In Home Supportive Care Agency | 194700107 | CA | Yes |

## Other

- **Enumeration date:** 10/25/2016
- **Last updated:** 10/25/2016