Healthcare Provider Details

I. General information

NPI: 1083406078
Provider Name (Legal Business Name): ENCORE PACIFIC INTEGRATED CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 N VICTORY BLVD STE 205
BURBANK CA
91502-0001
US

IV. Provider business mailing address

12936 WINTHROP AVE
GRANADA HILLS CA
91344-1223
US

V. Phone/Fax

Practice location:
  • Phone: 337-773-3773
  • Fax:
Mailing address:
  • Phone: 213-440-0123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ANI HARUTYUNYAN
Title or Position: CEO/PRESIDENT
Credential:
Phone: 223-322-8743