KG Home Care Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

194700107 Issued in CA

Legal business name

KG HOME CARE SERVICES LLC

Doing business as

1Heart Caregiver Services Beverly Hills

Practice address

8383 Wilshire Blvd
Ste 800
Beverly Hills, CA 90211-2425

Phone

(323) 561-5658

Fax

(323) 879-4282

NPI assigned

Oct 25, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Kamran Ghasri

Title

Ceo

Phone

(323) 456-8645

Specialties & licenses 2

Addresses

Other names 1

• 1Heart Caregiver Services Beverly Hills Doing business as

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1821540840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8383 WILSHIRE BLVD",
            "address_2": "STE 800",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112425",
            "telephone_number": "323-561-5658",
            "fax_number": "323-879-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8383 WILSHIRE BLVD",
            "address_2": "STE 800",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112425",
            "telephone_number": "323-561-5658",
            "fax_number": "323-879-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KG HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "GHASRI",
        "authorized_official_first_name": "KAMRAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-456-8645",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "CA",
            "license": "194700107",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": "194700107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1Heart Caregiver Services Beverly Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.