Organization Active NPI

Recoup Home Health

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1235615881
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RECOUP HOME HEALTH
Practice address
4421 W Riverside Dr Ste 204
Burbank, CA 91505-4051
Phone
(818) 655-0599
Fax
(818) 659-3161
NPI assigned
Jul 17, 2018
Last updated
May 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Authorized official

Name
Roman Inks
Title
Ceo
Phone
(818) 655-0599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4421 W Riverside Dr Ste 204
Burbank, CA 91505-4051

Mailing address

4421 W Riverside Dr Ste 204
Burbank, CA 91505-4051
Phone (818) 655-0599

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200107000384 CA Part A Provider - Home Health Agency 8426482035 Practice locations: Burbank, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235615881. Details of each certification follow.

Home health agency certification: CCN 753132

Legal name
RECOUP HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 13, 2022
Last certification
Jan 13, 2022
Organization structure
CorporationProprietary
Incorporated
Mar 27, 2018 in CA
Enrollment address
4421 W Riverside Dr
Ste 204
Burbank, CA 91505-4051
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Recoup Home HealthCCN 753132 · All quality measures
Overall star rating
2 of 5
Ownership
-
Certified
Jan 13, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

4421 W Riverside Dr
Ste 204
Burbank, CA 91505
Phone (818) 655-0599

7301 Topanga Canyon Blvd
Ste 324A
Canoga Park, CA 91303
Phone (818) 655-0599

11426 Ventura Blvd
Ste 300
Studio City, CA 91604
Phone (818) 655-0599

12441 Chandler Blvd
Ste D
Valley Village, CA 91607

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Roman Inks Individual 5% Or Greater Direct Ownership Interest Jan 9, 2023 50%
Corporate OfficerTreasurer Jan 9, 2023 50%
Operational/Managerial Control Jan 9, 2023 50%
Nikita Chaplygin Individual 5% Or Greater Direct Ownership Interest Jan 9, 2023 25%
Corporate OfficerTreasurer Jan 9, 2023 25%
Artem Akimtsev Individual 5% Or Greater Direct Ownership Interest Jan 9, 2023 25%
Corporate OfficerTreasurer Jan 9, 2023 25%

NPI Registry JSON

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1235615881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4421 W RIVERSIDE DR STE 204",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054051",
            "telephone_number": "818-655-0599",
            "fax_number": "818-659-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 W RIVERSIDE DR STE 204",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054051",
            "telephone_number": "818-655-0599",
            "fax_number": "818-659-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOUP HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-17",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "INKS",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-655-0599"
    },
    "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.