Goldstar Healthcare Center of Chatsworth, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

920000019 Issued in CA

Legal business name

GOLDSTAR HEALTHCARE CENTER OF CHATSWORTH, INC.

Doing business as

GOLDSTAR HEALTHCARE CENTER OF CHATSWORTH

Practice address

21820 Craggy View St
Chatsworth, CA 91311-2909

Phone

(818) 882-8233

Fax

(818) 882-2269

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Dov Goldner, OWNER

Title

President

Phone

(323) 556-5959

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GOLDSTAR HEALTHCARE CENTER OF CHATSWORTH Doing business as

Locations

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1164457644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21820 CRAGGY VIEW ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112909",
            "telephone_number": "818-882-8233",
            "fax_number": "818-882-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21820 CRAGGY VIEW ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112909",
            "telephone_number": "818-882-8233",
            "fax_number": "818-882-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDSTAR HEALTHCARE CENTER OF CHATSWORTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "GOLDNER",
        "authorized_official_first_name": "DOV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-556-5959",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "920000019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC90074F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOLDSTAR HEALTHCARE CENTER OF CHATSWORTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Good Life Palliative Care
• Eric Jeffrey Gorinstein, M.D.

• Skilled Nursing Facility in Chatsworth, CA
• Providers in Chatsworth, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.