Healthcare Provider Details

I. General information

NPI: 1902737752
Provider Name (Legal Business Name): KYALAMI HOUSING AGENCY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1617 N CAHUENGA BLVD
LOS ANGELES CA
90028-6201
US

IV. Provider business mailing address

1439 N HIGHLAND AVE # 308
LOS ANGELES CA
90028-7622
US

V. Phone/Fax

Practice location:
  • Phone: 424-281-7828
  • Fax:
Mailing address:
  • Phone: 424-281-7828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: VARIETY CHENEVERT
Title or Position: FOUNDER/CEO
Credential:
Phone: 424-281-7828