Organization Active NPI

Rejuvenate Home Health, Inc.

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1164037321
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
REJUVENATE HOME HEALTH, INC.
Practice address
4119 W Burbank Blvd Ste 184
Burbank, CA 91505-2122
Phone
(818) 744-8966
NPI assigned
Sep 14, 2020
Organization subpart
Yes
Parent organization
REJUVENATE HEALTHCARE INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Authorized official

Name
Lusine Karakashyan
Title
Ceo
Phone
(818) 744-8966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4119 W Burbank Blvd Ste 184
Burbank, CA 91505-2122

Mailing address

4119 W Burbank Blvd Ste 184
Burbank, CA 91505-2122
Phone (818) 744-8966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201014001081 CA Part A Provider - Home Health Agency 7214357177 Practice locations: Burbank, CA

Home health agency certification: CCN 757000

Legal name
REJUVENATE HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 26, 2022
Last certification
May 26, 2022
Organization structure
CorporationProprietary
Incorporated
Sep 8, 2020 in CA
Enrollment address
4119 W Burbank Blvd
Ste 184
Burbank, CA 91505-2122

Care Compare: Home health agency

Medicare Care Compare
Listed as
Rejuvenate Home Health Inc.CCN 757000
Overall star rating
4 of 5
Ownership
-
Certified
May 26, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

4119 W Burbank Blvd
Ste 184
Burbank, CA 91505
Phone (818) 600-1036

6735 Van Nuys Blvd
Ste 305
Van Nuys, CA 91405
Phone (818) 751-4420

Ownership & related parties

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.

NameRoleSinceShare
Lusine Karakashyan Individual 5% Or Greater Indirect Ownership Interest Jan 6, 2023
Corporate Officer Jan 6, 2023
Corporate Director Jan 6, 2023
W-2 Managing Employee Jan 6, 2023
Rejuvenate Healthcare Inc Organization, Sylmar, CA Corporation 5% Or Greater Direct Ownership Interest Aug 31, 2020 100%

Practitioners & affiliated clinicians

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1164037321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 W BURBANK BLVD STE 184",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052122",
            "telephone_number": "818-744-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 W BURBANK BLVD STE 184",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052122",
            "telephone_number": "818-744-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATE HOME HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REJUVENATE HEALTHCARE INC.",
        "enumeration_date": "2020-09-14",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "KARAKASHYAN",
        "authorized_official_first_name": "LUSINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-744-8966"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.