Reverence Home Health, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

REVERENCE HOME HEALTH, INC

Practice address

380 S Melrose Dr Ste 352
Vista, CA 92081-6641

Phone

(818) 429-4688

NPI assigned

Dec 20, 2021

Last updated

Dec 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Liana Shahijani, FNP-BCNPI 1669747739

Title

Ceo/ Nurse Practitioner

Phone

(818) 429-4688

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245990068. Details of each certification follow.

• CCN 757842 Home health agency · Active · Details

Home health agency certification: CCN 757842

Legal name

REVERENCE HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 11, 2025

Last certification

Feb 4, 2025

Organization structure

CorporationProprietary

Enrollment address

380 S Melrose Dr
Ste 352
Vista, CA 92081-6641
HHA Branch

Listed as

Reverence Home Health IncCCN 757842 · All quality measures

Ownership

-

Certified

Feb 11, 2025

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Liana Shahijani, FNP-BC

  • Family Nurse Practitioner
  • Encino, CA
  • NPI 1669747739
  NPD Authorized official

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Guillermo Castillo, M.D.

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1366558322

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1245990068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 S MELROSE DR STE 352",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 S MELROSE DR STE 352",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816641",
            "telephone_number": "818-429-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVERENCE HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "SHAHIJANI",
        "authorized_official_first_name": "LIANA",
        "authorized_official_title_or_position": "CEO/ NURSE PRACTITIONER",
        "authorized_official_telephone_number": "818-429-4688",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL AND MEDICARE",
            "identifier": "1669747739",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "n/a",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "n/a",
            "address_1": "380 S Melrose Dr Ste 352",
            "city": "Vista",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920816641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dhana Cabantac Remot, REGISTERED NURSE
• Joenie L Remsing
• Chelsea Eden Rendahl, P.T., D.P.T.
• Berenice Resendiz
• Restful Homes, Inc.
• Reyes Garcia & O'Connor Dental, Inc. (Melrose Dental & Braces)
• Edgar Reyes Garcia, DDS
• Maria Isabel Reyes Martinez
• Jenna E Reyes, FNP
• Katrin Reyes, LMFT

• Home Health Agency in Vista, CA
• Providers in Vista, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.

Verify at the official NPI Registry.