Provider Demographics
NPI:1912721374
Name:KHANAL & SONS GROUP LLC
Entity type:Organization
Organization Name:KHANAL & SONS GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMIN
Authorized Official - Prefix:MR
Authorized Official - First Name:SHUSHIL
Authorized Official - Middle Name:
Authorized Official - Last Name:KHANAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-974-9266
Mailing Address - Street 1:207 GLEN CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:ETNA
Mailing Address - State:OH
Mailing Address - Zip Code:43062-7136
Mailing Address - Country:US
Mailing Address - Phone:510-974-9266
Mailing Address - Fax:
Practice Address - Street 1:207 GLEN CROSSING DR
Practice Address - Street 2:
Practice Address - City:ETNA
Practice Address - State:OH
Practice Address - Zip Code:43062-7136
Practice Address - Country:US
Practice Address - Phone:510-974-9266
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty