Los Robles Homecare Services Inc

Organization Active NPI Home Health Agency · Thousand Oaks, CA

NPI 1982602496 · NPPES record last updated Jul 31, 2025

Key facts

NPI
1982602496
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
050000552 (CA)
Legal business name
LOS ROBLES HOMECARE SERVICES INC
Practice address
509 Marin St Ste 135
Thousand Oaks, CA 91360-7897
Phone
(805) 777-7234
Fax
(805) 777-0101
NPI assigned
Jul 8, 2005
Organization subpart
No

Authorized official

Name
Mr. Steven Burningham
Title
Managing Director
Phone
(415) 845-3213

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Affiliated clinicians 60

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

View all 60

Medicare Care Compare: Home health agency

Listed as
Los Robles Healthcare CCN 058059
Overall star rating
★★★★☆ 3.5 of 5
Ownership
Proprietary
Certified
Nov 16, 2000
Medicare certification status
Active (Provider of Services file)
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Home health agency certification: CCN 058059

Legal name
LOS ROBLES HOMECARE SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 16, 2000
Last certification
Sep 14, 2020
Ownership / control type
Proprietary
Organization structure
Corporation · Proprietary
Incorporated
Jun 26, 2000 in CA
Enrollment address
509 Marin St
Ste 135
Thousand Oaks, CA 91360-7897

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.

NameRoleSinceShare
Eric Kotitschke
Individual
W-2 Managing Employee Jan 1, 2020 100%
Impact Socal Healthcare Inc
Organization · Lehi, UT
LLC
5% Or Greater Direct Ownership Interest Jan 1, 2019 100%
Steven R Burningham
Individual
5% Or Greater Indirect Ownership Interest
Managing Director
Jan 1, 2020 50%
Corporate Officer
President
Jan 1, 2020 50%
Cody J Campbell
Individual
5% Or Greater Indirect Ownership Interest Jan 1, 2020 50%
Corporate Officer
Secretary
Jan 1, 2020 50%

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100929001197 CA Part a Provider - Home Health Agency 3779616727 Practice locations: Thousand Oaks, CA

National Provider Directory

Locations

68 Long Ct
Ste 2C
Thousand Oaks, CA 91360
Phone (805) 777-7234

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 050000552 CA Yes

Addresses

Primary practice location

509 Marin St Ste 135
Thousand Oaks, CA 91360-7897

Mailing address

1881 W Traverse Pkwy Ste E112
Lehi, UT 84048-6029
Phone (805) 777-7234

Other names

  • Los Robles Healthcare Doing business as

Other providers in Thousand Oaks, CA

All providers in Thousand Oaks, CA · Home Health Agency in California

Sources for this page

Verify at the official NPI Registry.