Provider Demographics
NPI:1093519191
Name:ENCORE HEALTH WORKERS
Entity type:Organization
Organization Name:ENCORE HEALTH WORKERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD MEMBER / CHW
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:LACY
Authorized Official - Suffix:
Authorized Official - Credentials:CHW
Authorized Official - Phone:559-207-4302
Mailing Address - Street 1:33919 OTTER LN
Mailing Address - Street 2:
Mailing Address - City:YOKUTS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93675-9682
Mailing Address - Country:US
Mailing Address - Phone:559-207-4302
Mailing Address - Fax:
Practice Address - Street 1:33919 OTTER LN
Practice Address - Street 2:
Practice Address - City:YOKUTS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93675-9682
Practice Address - Country:US
Practice Address - Phone:559-207-4302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No174200000XOther Service ProvidersMeals
No177F00000XOther Service ProvidersLodging
No251300000XAgenciesLocal Education Agency (LEA)
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No251K00000XAgenciesPublic Health or Welfare
No251V00000XAgenciesVoluntary or Charitable
No251X00000XAgenciesSupports Brokerage
No253Z00000XAgenciesIn Home Supportive Care
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health