Organization Active NPI

Swan Home Health Care, Inc.

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1578047817
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SWAN HOME HEALTH CARE, INC.
Practice address
3808 W Riverside Dr Ste 202
Burbank, CA 91505-4339
Phone
(818) 406-5006
NPI assigned
Sep 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Authorized official

Name
Nita Fautier
Title
Administrator, Ceo
Phone
(650) 804-6268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3808 W Riverside Dr Ste 202
Burbank, CA 91505-4339

Mailing address

3808 W Riverside Dr Ste 202
Burbank, CA 91505-4339
Phone (818) 804-5629

Other identifiers 1

IdentifierTypeStateIssuer
1MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200403000409 CA Part A Provider - Home Health Agency 8921437468 Practice locations: Burbank, CA

Home health agency certification: CCN 559283

Legal name
SWAN HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 9, 2020
Last certification
Jul 9, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
3808 W Riverside Dr
Ste 202
Burbank, CA 91505-4339

Care Compare: Home health agency

Medicare Care Compare
Listed as
Swan Home Health Care, IncCCN 559283
Ownership
Proprietary
Certified
Jul 9, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

3808 W Riverside Dr
Ste 202
Burbank, CA 91505
Phone (818) 406-5006

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Nita Fautier Individual 5% Or Greater Direct Ownership Interest Nov 16, 2024 100%
Corporate OfficerSecretary Nov 16, 2024 100%
Corporate DirectorCeo Nov 16, 2024 100%
W-2 Managing EmployeeAd; Nov 16, 2024 100%

NPI Registry JSON

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

{
    "created_epoch": "1537574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1578047817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 W RIVERSIDE DR STE 202",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054339",
            "telephone_number": "818-804-5629",
            "fax_number": "818-804-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 W RIVERSIDE DR STE 202",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054339",
            "telephone_number": "818-406-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAN HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-22",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "FAUTIER",
        "authorized_official_first_name": "NITA",
        "authorized_official_title_or_position": "ADMINISTRATOR, CEO",
        "authorized_official_telephone_number": "650-804-6268"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.