# KHUSHY SENIOR CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932886462
- **Authorized official:** ROHIT GODBOLE MD (VICE PRESIDENT)
- **Authorized official phone:** (630) 210-6050

## Contact information

- **Practice address:** 8300 UTICA AVE STE 175, RANCHO CUCAMONGA, CA 91730-3880
- **Practice address phone:** (909) 970-7250
- **Mailing address:** 8300 UTICA AVE STE 175, RANCHO CUCAMONGA, CA 91730-3880
- **Mailing address phone:** (909) 970-7250

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225200000X | Physical Therapy Assistant | — | NULL | — |
| 225200000X | Physical Therapy Assistant | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 06/27/2023
- **Last updated:** 11/08/2023