Good Way Home Health Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GOOD WAY HOME HEALTH INC.

Practice address

11871 Sheldon St Ste C
Sun Valley, CA 91352-1583

Phone

(747) 666-2241

Fax

(747) 666-2242

NPI assigned

Sep 23, 2022

Last updated

Sep 23, 2022By 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

Mary Adhzyan

Title

Ceo

Phone

(747) 666-2241

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 1326761347. Details of each certification follow.

• CCN 757798 Home health agency · Active · Details

Home health agency certification: CCN 757798

Legal name

GOOD WAY HOME HEALTH INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 13, 2024

Last certification

Nov 13, 2024

Organization structure

CorporationProprietary

Incorporated

Nov 5, 2021 in CA

Enrollment address

11871 Sheldon St
Ste C
Sun Valley, CA 91352-1583

Listed as

Good Way Home Health Inc.CCN 757798 · All quality measures

Ownership

-

Certified

Nov 13, 2024

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": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1326761347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11871 SHELDON ST STE C",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913521583",
            "telephone_number": "747-666-2241",
            "fax_number": "747-666-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11871 SHELDON ST STE C",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913521583",
            "telephone_number": "747-666-2241",
            "fax_number": "747-666-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD WAY HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "ADHZYAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-666-2241"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Ann Goodman, LVN
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• America Gramajo, LVN
• Emily Gray

• Home Health Agency in Sun Valley, CA
• Providers in Sun Valley, 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 23, 2022; 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.