Organization Active NPI

GD Healthcare

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1326708454
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GD HEALTHCARE
Practice address
14545 Friar St Ste 202Y
Van Nuys, CA 91411-2398
Phone
(347) 933-9387
Fax
(818) 484-2994
NPI assigned
Dec 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Authorized official

Name
Gegham Hovhannisyan
Title
Ceo
Phone
(347) 933-9387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14545 Friar St Ste 202Y
Van Nuys, CA 91411-2398

Mailing address

14545 Friar St Ste 202Y
Van Nuys, CA 91411-2398
Phone (347) 933-9387

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240522003353 CA Part A Provider - Home Health Agency 7113369158 Practice locations: Van Nuys, CA

Home health agency certification: CCN 757934

Legal name
GD HEALTHCARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 20, 2025
Last certification
Mar 20, 2025
Organization structure
CorporationProprietary
Incorporated
Dec 3, 2021 in CA
Enrollment address
14545 Friar St
Ste 202Y
Van Nuys, CA 91411-2398
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
GD HealthcareCCN 757934
Ownership
-
Certified
Mar 20, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

14545 Friar St
Ste 202Y
Van Nuys, CA 91411
Phone (347) 933-9387

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
Gegham Hovhannisyan Individual 5% Or Greater Direct Ownership Interest Dec 3, 2021 100%
Corporate OfficerCeo Dec 3, 2021 100%
Corporate DirectorDirector Dec 3, 2021 100%
Operational/Managerial ControlManager Dec 3, 2021 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": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1326708454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 202Y",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112398",
            "telephone_number": "347-933-9387",
            "fax_number": "818-484-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 202Y",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112398",
            "telephone_number": "347-933-9387",
            "fax_number": "818-484-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GD HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "HOVHANNISYAN",
        "authorized_official_first_name": "GEGHAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-933-9387"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.