Healthcare Provider Details

I. General information

NPI: 1629888219
Provider Name (Legal Business Name): ENHANCED CARE SOLUTIONS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2025
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2609 W BURBANK BLVD
BURBANK CA
91505-2304
US

IV. Provider business mailing address

2609 W BURBANK BLVD
BURBANK CA
91505-2304
US

V. Phone/Fax

Practice location:
  • Phone: 818-482-6793
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: SOUREN BASMADJIAN
Title or Position: CEO/
Credential:
Phone: 818-482-6793