Active NPI
Swan Home Health Care, Inc.
- Home Health Agency
- Burbank, CA
National Provider Identifier
1578047817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Ownership
- Proprietary
- Certified
- Jul 9, 2020
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Nita Fautier | 5% Or Greater Direct Ownership Interest | Nov 16, 2024 | 100% |
| Corporate Officer | Nov 16, 2024 | 100% | |
| Corporate Director | Nov 16, 2024 | 100% | |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.