Active NPI
Revive Home Health Agency, Inc.
- Home Health Agency
- North Hollywood, CA
National Provider Identifier
1619332434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- REVIVE HOME HEALTH AGENCY, INC.
- Practice address
- 11484 Burbank Blvd
North Hollywood, CA 91601-2301 - Phone
- (818) 358-4349
- Fax
- (818) 358-4137
- NPI assigned
- Dec 21, 2015
- 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
- Haroutun Militonyan
- Title
- Ceo
- Phone
- (818) 358-4349
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
11484 Burbank Blvd
North Hollywood, CA 91601-2301
Mailing address
11484 Burbank Blvd
North Hollywood, CA 91601-2301
Phone (818) 358-4349
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Revive Home Health Agency, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Nov 10, 2020
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737936000000",
"number": "1619332434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11484 BURBANK BLVD",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916012301",
"telephone_number": "818-358-4349",
"fax_number": "818-358-4137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11484 BURBANK BLVD",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916012301",
"telephone_number": "818-358-4349",
"fax_number": "818-358-4137"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REVIVE HOME HEALTH AGENCY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-21",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A",
"authorized_official_last_name": "MILITONYAN",
"authorized_official_first_name": "HAROUTUN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-358-4349"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.