Revivify Home Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

REVIVIFY HOME HEALTH CARE

Doing business as

Revivify Home Health Care

Practice address

21777 Ventura Blvd Ste 247
Woodland Hills, CA 91364-5107

Phone

(818) 967-5090

Fax

(818) 967-5091

NPI assigned

Oct 29, 2018

Last updated

Jun 27, 2026By 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

Afshin Azmoudeh

Title

Ceo

Phone

(818) 967-5090

Specialties & licenses 1

Addresses

Other names 1

• REVIVIFY HOME HEALTH CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679040570. Details of each certification follow.

• CCN 753112 Home health agency · Active · Details

Home health agency certification: CCN 753112

Legal name

REVIVIFY HOME HEALTH CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 27, 2021

Last certification

Dec 27, 2021

Organization structure

CorporationProprietary

Incorporated

Feb 12, 2018 in CA

Enrollment address

10201 Riverside Dr
Ste 206
Toluca Lake, CA 91602-2538
HHA Branch

Listed as

Revivify Home Health Care, IncCCN 753112 · All quality measures

Ownership

-

Certified

Dec 27, 2021

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 4

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Oganes Paronian, MD

  • Internal Medicine Physician
  • North Hollywood, CA
  • NPI 1528048899

  Corporate Director

  CMS 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.

• Zabyour Aliksanian, NP

  • Nurse Practitioner
  • Montebello, CA
  • NPI 1427067966
  NPD (past)

Affiliated clinicians 3

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

• Pejman Bahari-Nejad, D.O.

  • Family Medicine Physician
  • Woodland Hills, CA
  • NPI 1396885570

  Home health agency

  Care Compare affiliation
• Homayoon Khanlou, MD

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1356335277

  Home health agency

  Care Compare affiliation
• Carlo Medina, M.D.

  • Internal Medicine Physician
  • Marina del Rey, CA
  • NPI 1093786444

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782518400000",
    "number": "1679040570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21777 VENTURA BLVD STE 247",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913645107",
            "telephone_number": "818-967-5090",
            "fax_number": "818-967-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21777 VENTURA BLVD STE 247",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913645107",
            "telephone_number": "818-967-5090",
            "fax_number": "818-967-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVIFY HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2026-06-27",
        "certification_date": "2026-06-27",
        "status": "A",
        "authorized_official_last_name": "AZMOUDEH",
        "authorized_official_first_name": "AFSHIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-967-5090"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REVIVIFY HOME HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Woodland Hills, CA
• Providers in Woodland Hills, 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 Jun 27, 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.

Verify at the official NPI Registry.