Organization Active NPI

Good Hope Health Care Services Inc

  • Home Health Agency
  • North Hollywood, CA
National Provider Identifier
1023752755
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOOD HOPE HEALTH CARE SERVICES INC
Practice address
12444 Victory Blvd Ste 411-E
North Hollywood, CA 91606-3199
Phone
(818) 334-6321
Fax
(818) 476-7425
NPI assigned
Apr 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Authorized official

Name
Svetik Harutyunyan
Title
Cfo,Ceo,Secretary
Phone
(818) 334-6321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

12444 Victory Blvd Ste 411-E
North Hollywood, CA 91606-3199

Mailing address

12444 Victory Blvd Ste 411-E
North Hollywood, CA 91606-3199
Phone (818) 334-6321

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240208002257 CA Part A Provider - Home Health Agency 8527401306 Practice locations: North Hollywood, CA

Home health agency certification: CCN 757750

Legal name
GOOD HOPE HEALTH CARE SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 29, 2024
Last certification
Aug 29, 2024
Organization structure
CorporationProprietary
Enrollment address
12444 Victory Blvd
Ste 411E
North Hollywood, CA 91606-3199

Care Compare: Home health agency

Medicare Care Compare
Listed as
Good Hope Health Care Services IncCCN 757750 · All quality measures
Ownership
-
Certified
Aug 29, 2024
Medicare certification status
ActiveFrom the Provider of Services file

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
05D2316822Good Hope Health Care Services Inc12444 Victory Blvd Ste 411-E, North Hollywood, CA 91606Certificate of waiverJan 12, 2027

National Provider Directory

National Provider Directory

Locations

12444 Victory Blvd
Ste 411E
North Hollywood, CA 91606
Phone (818) 334-6321

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
Svetik S Harutyunyan Individual 5% Or Greater Direct Ownership Interest Jan 15, 2022 100%
Corporate OfficerCeo Jan 5, 2022 100%
Corporate DirectorCeo Jan 5, 2022 100%
W-2 Managing EmployeeCeo Jan 5, 2022 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": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1023752755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12444 VICTORY BLVD STE 411-E",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063199",
            "telephone_number": "818-334-6321",
            "fax_number": "818-476-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12444 VICTORY BLVD STE 411-E",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063199",
            "telephone_number": "818-334-6321",
            "fax_number": "818-476-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD HOPE HEALTH CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "HARUTYUNYAN",
        "authorized_official_first_name": "SVETIK",
        "authorized_official_title_or_position": "CFO,CEO,SECRETARY",
        "authorized_official_telephone_number": "818-334-6321"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.