Gna Home Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GNA HOME HEALTH CARE

Practice address

6240 Laurel Canyon Blvd Ste 207
North Hollywood, CA 91606-3219

Phone

(818) 390-7202

NPI assigned

Sep 21, 2021

Last updated

Sep 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ani Khalulyan

Title

Ceo

Phone

(818) 390-7202

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215608195. Details of each certification follow.

• CCN 757433 Home health agency · Active · Details

Home health agency certification: CCN 757433

Legal name

GNA HOME HEALTH CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 5, 2023

Last certification

Oct 5, 2023

Organization structure

CorporationProprietary

Incorporated

Jun 9, 2021 in CA

Enrollment address

6240 Laurel Canyon Blvd
Ste 207
North Hollywood, CA 91606-3219

Listed as

Gna Home Health CareCCN 757433 · All quality measures

Overall star rating

3 of 5

Ownership

-

Certified

Oct 5, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1215608195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 LAUREL CANYON BLVD STE 207",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 LAUREL CANYON BLVD STE 207",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063219",
            "telephone_number": "818-390-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GNA HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "KHALULYAN",
        "authorized_official_first_name": "ANI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-390-7202"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.