Kae Home Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KAE HOME CARE INC

Practice address

12444Victory Blvd Ste 301-T
North Hollywood, CA 91606

Phone

(747) 297-2863

Fax

(747) 297-2864

NPI assigned

Mar 3, 2022

Last updated

Mar 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edgar Grigoryan

Title

Ceo,Cfo,Secretary

Phone

(747) 297-2863

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1396492914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12444VICTORY BLVD STE 301-T",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "91606",
            "telephone_number": "747-297-2863",
            "fax_number": "747-297-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12444VICTORY BLVD STE 301-T",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "91606",
            "telephone_number": "747-297-2863",
            "fax_number": "747-297-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAE HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "GRIGORYAN",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_title_or_position": "CEO,CFO,SECRETARY",
        "authorized_official_telephone_number": "747-297-2863"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diego Armando Juarez Viveros
• Diana Juarez
• Jane Jung
• James Junious
• Marine Mary Kademyan, AGNP
• Cindy Kaestle
• James Y Kahng, DDS
• Kaiser Foundation Health Plan Inc
• Khrist Kakosimidi
• Neda Kakvand

• Home Health Agency in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.