Provider Demographics
NPI:1083406078
Name:ENCORE PACIFIC INTEGRATED CARE
Entity type:Organization
Organization Name:ENCORE PACIFIC INTEGRATED CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANI
Authorized Official - Middle Name:
Authorized Official - Last Name:HARUTYUNYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:223-322-8743
Mailing Address - Street 1:12936 WINTHROP AVE
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-1223
Mailing Address - Country:US
Mailing Address - Phone:213-440-0123
Mailing Address - Fax:
Practice Address - Street 1:15335 MORRISON ST STE 3048
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-1513
Practice Address - Country:US
Practice Address - Phone:337-773-3773
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEYOND OPULENCE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based