Organization
GVK ASSOCIATES
Active
Other names
PROACTIVE CARE
Organization subpart
No
Provider details
NPI number
Authorized official
VINCE KACH CAPITALIST (CEO-OWNER)
(818) 616-2404
Entity
Organization
Contact information
Practice address
7461 VISTA DEL MONTE AVE, VAN NUYS, CA 91405-1950
(818) 616-2404
Mailing address
7461 VISTA DEL MONTE AVE, VAN NUYS, CA 91405-1950
(818) 616-2404
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
—
—
283Q00000X
Psychiatric Hospital
Primary
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043394505
—
CA
05
—
1104283423
—
CA
01
—
550003700
DPHS
CA
Enumeration date
01/16/2016
Last updated
01/19/2024
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