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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

REVIVIFY HOME HEALTH CARE
NPI 1679040570
Home Health in Woodland Hills, CA

Active since October 29, 2018CLIA 05D2159452 · Waiver
21777 VENTURA BLVD STE 247, WOODLAND HILLS, CA 91364(818) 967-5090(818) 967-5091 Get Directions Write a Review

NPPES record last updated: June 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2022, Aug 4, 2022, Oct 29, 2018 (3 updates tracked since 2018).

About Revivify Home Health Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVIVIFY HOME HEALTH CARE (NPI 1679040570) is a healthcare organization registered as a home health in Woodland Hills, California and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through December 17, 2026 and lists Afshin Azmoudeh, Ceo, as its authorized official.

NPPES Registry Identity

NPI1679040570
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameREVIVIFY HOME HEALTH CARE
Location Address21777 VENTURA BLVD STE 247Woodland Hills, CA 91364-5107
Mailing Address21777 Ventura Blvd Ste 247Woodland Hills, CA 91364-5107 · (818) 967-5090 · Fax (818) 967-5091
Phone(818) 967-5090
Fax(818) 967-5091
Organization SubpartNo
Authorized OfficialAfshin AzmoudehCeo · (818) 967-5090
Enumeration DateOctober 29, 2018
Last NPPES UpdateJune 27, 20263 updates tracked since enumeration
NPPES CertifiedJune 27, 2026
✔ NPI 1679040570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
21777 VENTURA BLVD STE 247, Woodland Hills, CA 91364
Open in Google Maps ↗

Other Names 1

Doing Business AsRevivify Home Health Care

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2159452

Revivify Home Health Care · Toluca Lake, CA
Active · expires Dec 17, 2026
CLIA Number05D2159452
Laboratory TypeHome Health Agency
Certificate Effective DateDecember 18, 2024
Certificate Expiration DateDecember 17, 2026
Laboratory DirectorVahan Koshkaryan
Laboratory Phone(818) 967-5090
Laboratory LocationRevivify Home Health Care10201 Riverside Dr Suite 206, Toluca Lake, CA 91602
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Revivify Home Health Care, Inc (CMS certification number 753112), from CMS Care Compare.

Revivify Home Health Care, Inc

Home health agency · Toluca Lake, CA
CMS Certification Number753112
Medicare-Certified SinceDecember 27, 2021
Phone(818) 967-5090

Discharge, Readmission & Medicare Spending

Patients discharged to the community, remaining home without unplanned hospital care
Cases too small to report
Medicare spending per episode of care, relative to the national average
1.00 = national average per episode of care · based on 28 episodes
1.08
Risk-standardized rates account for differences in patient mix. Comparison labels are assigned by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revivify Home Health Care's NPI number?

The NPI number for Revivify Home Health Care is 1679040570. It was assigned to this organization in the NPPES registry on October 29, 2018.

Where is Revivify Home Health Care located?

Revivify Home Health Care is located at 21777 Ventura Blvd Ste 247, Woodland Hills, CA 91364. The listed phone number is (818) 967-5090.

What is Revivify Home Health Care's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Revivify Home Health Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2159452) is associated with this NPI, valid through December 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Revivify Home Health Care a Medicare-certified home health agency?

Yes. Revivify Home Health Care, Inc is a Medicare-certified home health agency, certified since December 27, 2021.

When was this NPI record last updated?

The NPPES record for Revivify Home Health Care was last updated on June 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.