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
- Title
- Ceo
- Phone
- (661) 513-3240
Practitioners 1
Affiliated clinicians 1
-
Rubina Shaheen, MD
Medicare Care Compare: Home health agency
- Listed as
- Active Light Home Health, Inc
- Overall star rating
- ★★★★★ 4.5 of 5
- Ownership
- -
- Certified
- Aug 18, 2021
- Medicare certification status
- Active
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
| Name | Role | Since | Share |
|---|---|---|---|
| Anna Arsenyan |
5% Or Greater Direct Ownership Interest |
Jul 29, 2020 | 100% |
| Corporate Officer |
Jul 29, 2020 | 100% | |
| Corporate Director |
Jul 29, 2020 | 100% | |
| W-2 Managing Employee |
Jul 29, 2020 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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All providers in Burbank, CA · Home Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.