Organization Active NPI

R & G Home Health Care Services, Inc.

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1750587804
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550000920 Issued in CA
Legal business name
R & G HOME HEALTH CARE SERVICES, INC.
Practice address
539 N Glenoaks Blvd
Ste 204B
Burbank, CA 91502-3201
Phone
(818) 840-0900
Fax
(818) 840-0999
NPI assigned
Jun 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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

Authorized official

Name
Rita Davoodian
Title
Ceo
Phone
(818) 840-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 550000920 CA Primary

Addresses

Primary practice location

539 N Glenoaks Blvd
Ste 204B
Burbank, CA 91502-3201

Mailing address

539 N Glenoaks Blvd
Ste 204B
Burbank, CA 91502-3201
Phone (818) 840-0900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070725000669 CA Part A Provider - Home Health Agency 8527169150 Practice locations: Burbank, CA

Home health agency certification: CCN 059093

Legal name
R & G HOME HEALTH CARE SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 27, 2009
Last certification
Jul 29, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
539 N Glenoaks Blvd
Ste 204B
Burbank, CA 91502-3208

Care Compare: Home health agency

Medicare Care Compare
Listed as
R & G Home Health Care Services, IncCCN 059093
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Aug 27, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1102132R & G Home Health Care Services, Inc539 N Glenoaks Blvd Ste 204B, Burbank, CA 91502Certificate of waiverJul 12, 2027

National Provider Directory

National Provider Directory

Locations

539 N Glenoaks Blvd
Ste 204B
Burbank, CA 91502
Phone (818) 840-0900

Ownership & related parties

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.

NameRoleSinceShare
Gayane Kirakosyan Individual 5% Or Greater Direct Ownership Interest Jul 2, 2024 50%
Corporate OfficerCfo/Administrator/DPCS Jul 2, 2024 50%
W-2 Managing EmployeeCfo/Administrator/DPCS Jul 2, 2024 50%
Rita Davoodian Individual 5% Or Greater Direct Ownership Interest May 3, 2007 50%
Corporate OfficerCeo/ Administrator Designee May 3, 2007 50%
W-2 Managing EmployeeCeo/ Administrator Designee May 3, 2007 50%

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1750587804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 N GLENOAKS BLVD",
            "address_2": "STE 204B",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915023201",
            "telephone_number": "818-840-0900",
            "fax_number": "818-840-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 N GLENOAKS BLVD",
            "address_2": "STE 204B",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915023201",
            "telephone_number": "818-840-0900",
            "fax_number": "818-840-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R & G HOME HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "DAVOODIAN",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-840-0900"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.