Organization
KG HOME CARE SERVICES LLC
Active
Other names
1Heart Caregiver Services Beverly Hills
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAMRAN GHASRI (CEO)
(323) 456-8645
Entity
Organization
Contact information
Practice address
8383 WILSHIRE BLVD, STE 800, BEVERLY HILLS, CA 90211-2425
(323) 561-5658
(323) 879-4282
Mailing address
8383 WILSHIRE BLVD, STE 800, BEVERLY HILLS, CA 90211-2425
(323) 561-5658
(323) 879-4282
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
194700107
CA
253Z00000X
In Home Supportive Care Agency
Primary
194700107
CA
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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