Provider Demographics
NPI:1538354485
Name:AIKO HOME CARE SERVICES, INC.
Entity type:Organization
Organization Name:AIKO HOME CARE SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:P
Authorized Official - Last Name:GBASIN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:615-479-4808
Mailing Address - Street 1:2500 WILSHIRE BLVD STE 837
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90057-4324
Mailing Address - Country:US
Mailing Address - Phone:213-382-8939
Mailing Address - Fax:213-382-8927
Practice Address - Street 1:2500 WILSHIRE BLVD STE 837
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90057-4324
Practice Address - Country:US
Practice Address - Phone:213-382-8939
Practice Address - Fax:213-382-8927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-12
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA000210950300013311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home