Healthcare Provider Details

I. General information

NPI: 1104753136
Provider Name (Legal Business Name): MJK HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

416 S ROSEMEAD BLVD STE C
PASADENA CA
91107-4964
US

IV. Provider business mailing address

416 S ROSEMEAD BLVD STE C
PASADENA CA
91107-4964
US

V. Phone/Fax

Practice location:
  • Phone: 747-755-2440
  • Fax: 747-275-2155
Mailing address:
  • Phone: 747-755-2440
  • Fax: 747-275-2155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL J KESHISHIAN
Title or Position: CEO
Credential:
Phone: 747-755-2440