Our Lady of Refuge Home Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OUR LADY OF REFUGE HOME CARE INC

Practice address

4000 W Magnolia Blvd
Suite K
Burbank, CA 91505-2827

Phone

(818) 558-7400

Fax

(818) 558-7407

NPI assigned

May 10, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Madlen Davtian

Title

President

Phone

(818) 618-8118

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 058353

Legal name

OUR LADY OF REFUGE HOME CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 9, 2006

Last certification

Mar 5, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Feb 6, 2003 in CA

Enrollment address

4000 W Magnolia Blvd
Ste K
Burbank, CA 91505-2827

Listed as

Our Lady of Refuge Home Care, IncCCN 058353

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Sep 9, 2006

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1023068319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 W MAGNOLIA BLVD",
            "address_2": "SUITE K",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052827",
            "telephone_number": "818-558-7400",
            "fax_number": "818-558-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 W MAGNOLIA BLVD",
            "address_2": "SUITE K",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052827",
            "telephone_number": "818-558-7400",
            "fax_number": "818-558-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF REFUGE HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "DAVTIAN",
        "authorized_official_first_name": "MADLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-618-8118",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Burbank, CA
• Providers in Burbank, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.