OrganizationActiveAccepts Medicare
Providence Health System - Southern California
NPI 1164429684 · Home Health Agency · Burbank, CA
Enrolled with Medicare as Part a Provider - Home Health Agency · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1164429684
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary for Enrollment(425) 358-9786
- License
- 980000499 (CA)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
250 E Olive Ave Ste 202
Burbank, CA 91502-1211
Phone: (818) 953-4451
Fax: (747) 229-2365
Street-level locationGet directions
Mailing address
250 E Olive Ave Ste 202
Burbank, CA 91502-1211
Other names (DBA / former)
- Doing business as
- Providence Home Health La County North
- Doing business as
- Providence Home Care
Registry dates
- Enumerated
- 2005-06-30
- Last updated
- 2025-05-16
- Certified
- 2025-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.