Good Earth Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GOOD EARTH HOME HEALTH, INC.

Practice address

13609 Victory Blvd
Suite 229
Los Angeles, CA 90041-2087

Phone

(323) 274-4911

Fax

(323) 274-4912

NPI assigned

May 2, 2019

Organization subpart

No

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

Authorized official

Name

Angela Khanjyan

Title

Ceo

Phone

(818) 502-9996

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757448

Legal name

GOOD EARTH HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 26, 2023

Last certification

Jun 29, 2023

Organization structure

CorporationProprietary

Incorporated

Mar 4, 2019 in CA

Enrollment address

13609 Victory Blvd
Ste 229
Van Nuys, CA 91401-6431

Listed as

Good Earth Home Health, IncCCN 757448 · All quality measures

Overall star rating

3 of 5

Ownership

-

Certified

Jul 26, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

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

Affiliated clinicians 2

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

• Eddie Lares, MD

  • Emergency Medicine Physician
  • Loma Linda, CA
  • NPI 1528264371

  Home health agency

  Care Compare affiliation
• Ronald Irving Jacoby, M.D.

  • Internal Medicine Physician
  • Cape Coral, FL
  • NPI 1346269669

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1245895523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 EAGLE ROCK BLVD STE 208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900412087",
            "telephone_number": "323-274-4911",
            "fax_number": "323-274-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13609 VICTORY BLVD",
            "address_2": "SUITE 229",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900412087",
            "telephone_number": "323-274-4911",
            "fax_number": "323-274-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD EARTH HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2024-03-01",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "KHANJYAN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-502-9996"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gonzalo Echarte Professional Dental Corporation
• Cathlyn Goo
• Irene Goo
• Good Care Transportation Inc.
• Good Choice Diagnostic Inc
• Good Eye Inc
• Good Health Adult Day Health Care, Inc.
• Good Health Always LLC
• Good Life Home Health Care Services, Inc.
• Good Life Medical Services

• Home Health Agency in Los Angeles, CA
• Providers in Los Angeles, 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 Mar 1, 2024; 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.