Organization Active NPI

Golden Care Home Health, Inc

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1336874098
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOLDEN CARE HOME HEALTH, INC
Practice address
14545 Friar St Ste 297
Van Nuys, CA 91411-2397
Phone
(818) 666-8299
Fax
(818) 484-3535
NPI assigned
Jul 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Authorized official

Name
Dianna Endzhighoulian
Title
Ceo
Phone
(818) 666-8299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14545 Friar St Ste 297
Van Nuys, CA 91411-2397

Mailing address

14545 Friar St Ste 297
Van Nuys, CA 91411-2397
Phone (818) 666-8299

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230413001879 CA Part A Provider - Home Health Agency 1456726074 Practice locations: Van Nuys, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336874098. Details of each certification follow.

Home health agency certification: CCN 757513

Legal name
GOLDEN CARE HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 17, 2024
Last certification
Jan 11, 2024
Organization structure
CorporationProprietary
Incorporated
Oct 13, 2021 in CA
Enrollment address
14545 Friar St
Ste 297
Van Nuys, CA 91411-2397

Care Compare: Home health agency

Medicare Care Compare
Listed as
Golden Care Home Health, IncCCN 757513 · All quality measures
Overall star rating
4 of 5
Ownership
-
Certified
Jan 17, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

14545 Friar St
Ste 297
Van Nuys, CA 91411
Phone (818) 666-8299

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
Dianna Endzhighoulian Individual 5% Or Greater Direct Ownership InterestCeo Oct 13, 2021 100%
Corporate OfficerCeo Oct 13, 2021 100%
Corporate DirectorCeo Oct 13, 2021 100%
W-2 Managing EmployeeCeo Oct 13, 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": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1336874098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 297",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "818-666-8299",
            "fax_number": "818-484-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 297",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "818-666-8299",
            "fax_number": "818-484-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN CARE HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "ENDZHIGHOULIAN",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-666-8299"
    },
    "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.