Active NPI
Tricare Healthcare Services
- Home Health Agency
- Burbank, CA
National Provider Identifier
1306502265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- TRICARE HEALTHCARE SERVICES
- Practice address
- 639 S Glenwood PL Ste 107B
Burbank, CA 91506-2819 - Phone
- (818) 974-8998
- NPI assigned
- Nov 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anna Karabouloutian
- Title
- President
- Phone
- (818) 974-8998
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Community Based Hospice Care Agency | 251G00000X |
Addresses
Primary practice location
639 S Glenwood PL Ste 107B
Burbank, CA 91506-2819
Mailing address
639 S Glenwood PL # 102
Burbank, CA 91506-2819
National Provider Directory
National Provider Directory- Tax ID family
- Tricare Health Palliative Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Burbank, CA
- NPI 1649936352
Locations
639 S Glenwood Pl
#102
Burbank, CA 91506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694563200000",
"number": "1306502265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "639 S GLENWOOD PL # 102",
"city": "BURBANK",
"state": "CA",
"postal_code": "915062819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "639 S GLENWOOD PL STE 107B",
"city": "BURBANK",
"state": "CA",
"postal_code": "915062819",
"telephone_number": "818-974-8998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRICARE HEALTHCARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-15",
"last_updated": "2023-09-13",
"certification_date": "2023-09-13",
"status": "A",
"authorized_official_last_name": "KARABOULOUTIAN",
"authorized_official_first_name": "ANNA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-974-8998"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.