Organization Active NPI

Immense Home Health Inc

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1245806512
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Dec 30, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 IncCCN 757228
Overall star rating
2.5 of 5
Ownership
-
Certified
Apr 28, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Hovanes Jeragyan Individual 5% Or Greater Direct Ownership Interest Dec 1, 2024 51%
Corporate OfficerOwner Dec 1, 2024
Corporate DirectorOwner Dec 1, 2024
W-2 Managing EmployeeOwner Dec 1, 2024
Sana B Shahin Individual 5% Or Greater Direct Ownership Interest Dec 1, 2024 24.5%
Corporate OfficerCeo/Secretary/Board Director Dec 1, 2024 50%
Corporate DirectorCeo/Secretary/Board Director Dec 1, 2024 50%
W-2 Managing EmployeeCeo/Secretary/Board Director Dec 1, 2024 50%
John R Shahin Individual 5% Or Greater Direct Ownership Interest Dec 1, 2024 24.5%
Corporate OfficerCeo/Treasurer/Board Director Dec 1, 2024 50%
Corporate DirectorCeo/Treasurer/Board Director Dec 1, 2024 50%
W-2 Managing EmployeeCeo/Treasurer/Board Director Dec 1, 2024 50%

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "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

Verify at the official NPI Registry.