Organization Active NPI

G and K Home Care Inc.

  • Home Health Agency
  • Lake Balboa, CA
National Provider Identifier
1700534302
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
G AND K HOME CARE INC.
Practice address
16430 Vanowen St Unit 204
Lake Balboa, CA 91406-4729
Phone
(424) 387-7272
Fax
(818) 350-4123
NPI assigned
Mar 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Gor Khosteghyan
Title
Ceo/Owner
Phone
(424) 387-7272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

16430 Vanowen St Unit 204
Lake Balboa, CA 91406-4729

Mailing address

16430 Vanowen St Unit 204
Lake Balboa, CA 91406-4729
Phone (424) 387-7272

National Provider Directory

National Provider Directory

Locations

16430 Vanowen St
Unit 204
Lake Balboa, CA 91406
Phone (424) 387-7272

NPI Registry JSON

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

{
    "created_epoch": "1647129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1700534302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16430 VANOWEN ST UNIT 204",
            "city": "LAKE BALBOA",
            "state": "CA",
            "postal_code": "914064729",
            "telephone_number": "424-387-7272",
            "fax_number": "818-350-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16430 VANOWEN ST UNIT 204",
            "city": "LAKE BALBOA",
            "state": "CA",
            "postal_code": "914064729",
            "telephone_number": "424-387-7272",
            "fax_number": "818-350-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G AND K HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-13",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "KHOSTEGHYAN",
        "authorized_official_first_name": "GOR",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "424-387-7272"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Balboa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.