Organization Active NPI

Tricare Healthcare Services

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1306502265
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Sep 13, 2023

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)CodeLicenseStatePrimary
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 Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.