MEDICARE: MANAGE KARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency	0002573557-0001-2	CA

General Provider Information

NPI Number	:	1558642462
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANAGE KARE INC

Provider Business Mailing Address
First Line	:	17777 VENTURA BLVD STE 121
Second Line	:
City	:	ENCINO
State	:	CA
Zip	:	91316-3738
Country	:	US
Telephone Number	:	818-654-8377
Fax Number	:	818-332-4285

Provider Business Practice Location Address
First Line	:	17777 VENTURA BLVD STE 121
Second Line	:
City	:	ENCINO
State	:	CA
Zip	:	91316-3738
Country	:	US
Telephone Number	:	818-654-8377
Fax Number	:	818-332-4285

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. TATYANA BERKOVICH
Credential	:
Telephone Number	:	818-371-9116

Provider Enumeration Date	:	09/06/2011
Last Update Date	:	09/06/2011

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