Active NPI
Immense Home Health Inc
- Home Health Agency
- Burbank, CA
National Provider Identifier
1245806512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- IMMENSE HOME HEALTH INC
- Practice address
- 2000 W Magnolia Blvd Ste 200
Burbank, CA 91506-1707 - Phone
- (747) 895-5063
- Fax
- (747) 895-5093
- NPI assigned
- May 27, 2021
- 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
- Hovanes Jeragyan
- Title
- Ceo
- Phone
- (747) 895-5063
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2000 W Magnolia Blvd Ste 200
Burbank, CA 91506-1707
Mailing address
2000 W Magnolia Blvd Ste 200
Burbank, CA 91506-1707
Phone (747) 895-5063
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220711000870 | CA | Part A Provider - Home Health Agency | 6204216039 | Practice locations: Pasadena, CA |
Home health agency certification: CCN 757228
- Legal name
- IMMENSE HOME HEALTH INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Apr 28, 2023
- Last certification
- Apr 28, 2023
- Organization structure
- Corporation
- Enrollment address
- 1276 E Colorado Blvd
Ste 201
Pasadena, CA 91106-1951
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Immense Home Health Inc
- Overall star rating
- Ownership
- -
- Certified
- Apr 28, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
2000 W Magnolia Blvd
Ste 200
Burbank, CA 91506
Phone (747) 895-5063
1276 E Colorado Blvd
Ste 201
Pasadena, CA 91106
Phone (747) 895-5063
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 |
|---|---|---|---|
| Hovanes Jeragyan | 5% Or Greater Direct Ownership Interest | Dec 1, 2024 | 51% |
| Corporate Officer | Dec 1, 2024 | ||
| Corporate Director | Dec 1, 2024 | ||
| W-2 Managing Employee | Dec 1, 2024 | ||
| Sana B Shahin | 5% Or Greater Direct Ownership Interest | Dec 1, 2024 | 24.5% |
| Corporate Officer | Dec 1, 2024 | 50% | |
| Corporate Director | Dec 1, 2024 | 50% | |
| W-2 Managing Employee | Dec 1, 2024 | 50% | |
| John R Shahin | 5% Or Greater Direct Ownership Interest | Dec 1, 2024 | 24.5% |
| Corporate Officer | Dec 1, 2024 | 50% | |
| Corporate Director | Dec 1, 2024 | 50% | |
| W-2 Managing Employee | Dec 1, 2024 | 50% |
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Interventional Cardiology Physician
- Glendora, CA
- NPI 1578577813
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735516800000",
"number": "1245806512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 W MAGNOLIA BLVD STE 200",
"city": "BURBANK",
"state": "CA",
"postal_code": "915061707",
"telephone_number": "747-895-5063",
"fax_number": "747-895-5093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 W MAGNOLIA BLVD STE 200",
"city": "BURBANK",
"state": "CA",
"postal_code": "915061707",
"telephone_number": "747-895-5063",
"fax_number": "747-895-5093"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMMENSE HOME HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-27",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A",
"authorized_official_last_name": "JERAGYAN",
"authorized_official_first_name": "HOVANES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "747-895-5063"
},
"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 Dec 30, 2024; 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.