Golden Eagle Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GOLDEN EAGLE HOME HEALTH

Practice address

8448 Reseda Blvd Ste 107
Northridge, CA 91324-5992

Phone

(747) 206-5131

Fax

(747) 206-5135

NPI assigned

Jul 28, 2021

Organization subpart

No

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

Authorized official

Name

Migran Gegeyan

Title

Ceo

Phone

(747) 206-5131

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757222

Legal name

GOLDEN EAGLE HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 22, 2023

Last certification

Mar 22, 2023

Organization structure

CorporationProprietary

Incorporated

May 25, 2021 in CA

Enrollment address

8448 Reseda Blvd
Ste 107
Northridge, CA 91324-5992

Listed as

Golden Eagle Home HealthCCN 757222 · All quality measures

Overall star rating

2.5 of 5

Ownership

-

Certified

Mar 22, 2023

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1356014062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8448 RESEDA BLVD STE 107",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913245992",
            "telephone_number": "747-206-5131",
            "fax_number": "747-206-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8448 RESEDA BLVD STE 107",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913245992",
            "telephone_number": "747-206-5131",
            "fax_number": "747-206-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN EAGLE HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "GEGEYAN",
        "authorized_official_first_name": "MIGRAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-206-5131"
    },
    "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 Northridge, CA
• Providers in Northridge, 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 Jul 28, 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.