Healthcare Provider Details

I. General information

NPI: 1801470976
Provider Name (Legal Business Name): ENTRUST SENIOR CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2021
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6303 OWENSMOUTH AVE FL 10
WOODLAND HILLS CA
91367-2262
US

IV. Provider business mailing address

6303 OWENSMOUTH AVE FL 10
WOODLAND HILLS CA
91367-2262
US

V. Phone/Fax

Practice location:
  • Phone: 323-410-0721
  • Fax: 323-983-7805
Mailing address:
  • Phone: 323-410-0721
  • Fax: 323-983-7805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. FREDERICK HEPBURN
Title or Position: PRESIDENT
Credential:
Phone: 323-217-2179