Healthcare Provider Details

I. General information

NPI: 1255113072
Provider Name (Legal Business Name): OUTREACH HOME HEALTH CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2023
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1114 W MAGNOLIA BLVD STE E
BURBANK CA
91506-1812
US

IV. Provider business mailing address

1114 W MAGNOLIA BLVD STE E
BURBANK CA
91506-1812
US

V. Phone/Fax

Practice location:
  • Phone: 747-313-6749
  • Fax: 747-800-2186
Mailing address:
  • Phone: 747-313-6749
  • Fax: 747-800-2186

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: MARIA ANI HAJIYAN
Title or Position: CEO
Credential:
Phone: 747-313-6749