Organization Active NPI

Golden Star Home Health Care, Inc.

  • Community Based Hospice Care Agency
  • Glendale, CA
National Provider Identifier
1003286873
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GOLDEN STAR HOME HEALTH CARE, INC.
Practice address
440 W Colorado St Ste 205
Glendale, CA 91204-3056
Phone
(818) 967-5501
NPI assigned
Oct 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Authorized official

Name
Mr. Aida Ovsepyan
Title
President/Ceo
Phone
(818) 967-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

440 W Colorado St Ste 205
Glendale, CA 91204-3056

Mailing address

440 W Colorado St Ste 205
Glendale, CA 91204-3056

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151214000955 CA Part A Provider - Home Health Agency 7911208152 Practice locations: Glendale, CA

Home health agency certification: CCN 553184

Legal name
GOLDEN STAR HOME HEALTH CARE, INC.
Doing business as
GOLDEN STAR HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 20, 2019
Last certification
Feb 20, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 21, 2015 in CA
Enrollment address
440 W Colorado St
Ste 205
Glendale, CA 91204-3056

Care Compare: Home health agency

Medicare Care Compare
Listed as
Golden Star Home Health CareCCN 553184
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Feb 20, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2150124Golden Star Home Health Care, Inc.440 W Colorado St Ste 205, Glendale, CA 91204Certificate of waiverJun 17, 2028

National Provider Directory

National Provider Directory

Locations

440 W Colorado St
Ste 205
Glendale, CA 91204
Phone (818) 649-1064

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Aida Ovsepyan Individual 5% Or Greater Direct Ownership Interest Sep 21, 2015 100%
Corporate OfficerCeo Sep 21, 2015 100%
Corporate DirectorChairman of the Board Sep 21, 2015 100%
W-2 Managing EmployeePresident Sep 21, 2015 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1003286873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 W COLORADO ST STE 205",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 W COLORADO ST STE 205",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043056",
            "telephone_number": "818-967-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN STAR HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "OVSEPYAN",
        "authorized_official_first_name": "AIDA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-967-5500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.