Active NPI
R & G Home Health Care Services, Inc.
- Home Health Agency
- Burbank, CA
National Provider Identifier
1750587804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 550000920
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Aug 27, 2009
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1102132 | R & G Home Health Care Services, Inc | Certificate of waiver | Jul 12, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Gayane Kirakosyan | 5% Or Greater Direct Ownership Interest | Jul 2, 2024 | 50% |
| Corporate Officer | Jul 2, 2024 | 50% | |
| W-2 Managing Employee | Jul 2, 2024 | 50% | |
| Rita Davoodian | 5% Or Greater Direct Ownership Interest | May 3, 2007 | 50% |
| Corporate Officer | May 3, 2007 | 50% | |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.