Active NPI
Rejuvenate Home Health, Inc.
- Home Health Agency
- Burbank, CA
National Provider Identifier
1164037321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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.
- Overall star rating
- Ownership
- -
- Certified
- May 26, 2022
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Lusine Karakashyan | 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 | 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.
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1982650776
Home health agency
-
- General Practice Physician
- South Gate, CA
- NPI 1285775437
Home health agency
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1245737188
Home health agency
-
- Emergency Medicine Physician
- Philadelphia, PA
- NPI 1699040063
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.