Active NPI
Recoup Home Health
- Home Health Agency
- Burbank, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Incorporated
- Mar 27, 2018 in CA
- Enrollment address
- 4421 W Riverside Dr
Ste 204
Burbank, CA 91505-4051
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Recoup Home Health
- Overall star rating
- Ownership
- -
- Certified
- Jan 13, 2022
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Roman Inks | 5% Or Greater Direct Ownership Interest | Jan 9, 2023 | 50% |
| Corporate Officer | Jan 9, 2023 | 50% | |
| Operational/Managerial Control | Jan 9, 2023 | 50% | |
| Nikita Chaplygin | 5% Or Greater Direct Ownership Interest | Jan 9, 2023 | 25% |
| Corporate Officer | Jan 9, 2023 | 25% | |
| Artem Akimtsev | 5% Or Greater Direct Ownership Interest | Jan 9, 2023 | 25% |
| Corporate Officer | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.