MEDICARE: REJUVENATE HOME HEALTH, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1164037321
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REJUVENATE HOME HEALTH, INC.

Provider Business Mailing Address
First Line	:	4119 W BURBANK BLVD STE 184
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-2122
Country	:	US
Telephone Number	:	818-744-8966
Fax Number	:

Provider Business Practice Location Address
First Line	:	4119 W BURBANK BLVD STE 184
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-2122
Country	:	US
Telephone Number	:	818-744-8966
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	LUSINE KARAKASHYAN
Credential	:
Telephone Number	:	818-744-8966

Provider Enumeration Date	:	09/14/2020
Last Update Date	:	02/13/2025

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