Organization Active NPI

MDKK Healthcare Inc

  • Community Based Hospice Care Agency
  • Glendale, CA
National Provider Identifier
1124790209
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MDKK HEALTHCARE INC
Practice address
318 1/2 N Brand Blvd Ste D3
Glendale, CA 91203
Phone
(747) 233-8681
NPI assigned
Sep 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eliza Glants
Title
Ceo, Owner
Phone
(747) 233-8681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

318 1/2 N Brand Blvd Ste D3
Glendale, CA 91203

Mailing address

318 1/2 N Brand Blvd Ste D3
Glendale, CA 91203
Phone (747) 233-8681

National Provider Directory

National Provider Directory

Locations

318 N Brand Blvd
Ste D3
Glendale, CA 91203
Phone (747) 233-8681

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1124790209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 1/2 N BRAND BLVD STE D3",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91203",
            "telephone_number": "747-233-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 1/2 N BRAND BLVD STE D3",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91203",
            "telephone_number": "747-233-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDKK HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "GLANTS",
        "authorized_official_first_name": "ELIZA",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "747-233-8681"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.