Active Light Home Health Inc

Organization Active NPI Home Health Agency · Burbank, CA

NPI 1861002453 · NPPES record last updated Jul 30, 2025

Key facts

NPI
1861002453
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
Legal business name
ACTIVE LIGHT HOME HEALTH INC
Practice address
150 E Olive Ave Ste 109
Burbank, CA 91502-1849
Phone
(661) 513-3240
Fax
(661) 244-2819
NPI assigned
Aug 7, 2020
Organization subpart
No

Authorized official

Name
Anna Arsenyan NPI 1386254969
Title
Ceo
Phone
(661) 513-3240

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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

Medicare Care Compare: Home health agency

Listed as
Active Light Home Health, Inc CCN 559560
Overall star rating
★★★★★ 4.5 of 5
Ownership
-
Certified
Aug 18, 2021
Medicare certification status
Active (Provider of Services file)

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Home health agency certification: CCN 559560

Legal name
ACTIVE LIGHT HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 18, 2021
Last certification
Aug 9, 2021
Organization structure
Corporation · Proprietary
Incorporated
Jul 29, 2020 in CA
Enrollment address
150 E Olive Ave
Ste 109
Burbank, CA 91502-1849

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.

NameRoleSinceShare
Anna Arsenyan
Individual
5% Or Greater Direct Ownership Interest
Owner
Jul 29, 2020 100%
Corporate Officer
Ceo/Cfo/President/Secretary/100%
Jul 29, 2020 100%
Corporate Director
Ceo/Cfo/President/Secretary/100%
Jul 29, 2020 100%
W-2 Managing Employee
Ceo/Cfo/President/Secretary/100%
Jul 29, 2020 100%

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20201019002345 CA Part a Provider - Home Health Agency 5799105482 Practice locations: Burbank, CA

National Provider Directory

Locations

150 E Olive Ave
Ste 109
Burbank, CA 91502
Phone (661) 513-3240

23236 Lyons Ave
Ste 215
Santa Clarita, CA 91321
Phone (661) 513-3240

8123 San Fernando Rd
Ste B
Sun Valley, CA 91352
Phone (661) 513-3240

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Yes

Addresses

Primary practice location

150 E Olive Ave Ste 109
Burbank, CA 91502-1849

Mailing address

150 E Olive Ave Ste 109
Burbank, CA 91502-1849
Phone (661) 513-3240

Other providers in Burbank, CA

All providers in Burbank, CA · Home Health Agency in California

Sources for this page

Verify at the official NPI Registry.