NPIMap

Organization Active NPI

Los Robles Homecare Services Inc

Doing business as Los Robles Healthcare

  • Home Health Agency
  • Thousand Oaks, CA
National Provider Identifier
1982602496
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
050000552 Issued in CA
Legal business name
LOS ROBLES HOMECARE SERVICES INC
Doing business as
Los Robles Healthcare
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
Last updated
Jul 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Authorized official

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

Specialties & licenses 1

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

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 1

  • Los Robles Healthcare Doing business as

Medicare participation

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

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982602496. Details of each certification follow.

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
CorporationProprietary
Incorporated
Jun 26, 2000 in CA
Enrollment address
509 Marin St
Ste 135
Thousand Oaks, CA 91360-7897

Care Compare: Home health agency

Medicare Care Compare
Listed as
Los Robles HealthcareCCN 058059 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Nov 16, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

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

Ownership & related parties

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 InterestManaging Director Jan 1, 2020 50%
Corporate OfficerPresident Jan 1, 2020 50%
Cody J Campbell Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2020 50%
Corporate OfficerSecretary Jan 1, 2020 50%

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Affiliated clinicians 60

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

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1982602496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 W TRAVERSE PKWY STE E112",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840486029",
            "telephone_number": "805-777-7234",
            "fax_number": "805-777-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 MARIN ST STE 135",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913607897",
            "telephone_number": "805-777-7234",
            "fax_number": "805-777-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ROBLES HOMECARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "BURNINGHAM",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "415-845-3213",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "050000552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Robles Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.