Active NPI
Golden Age Hospice Care Inc
- Community Based Hospice Care Agency
- Woodland Hills, CA
National Provider Identifier
1366090466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- GOLDEN AGE HOSPICE CARE INC
- Practice address
- 5311 Topanga Canyon Blvd Ste 305
Woodland Hills, CA 91364-1754 - Phone
- (818) 533-2340
- NPI assigned
- Sep 1, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Svetlana Gurevich
- Title
- Ceo
- Phone
- (818) 533-2340
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
5311 Topanga Canyon Blvd Ste 305
Woodland Hills, CA 91364-1754
Mailing address
5311 Topanga Canyon Blvd Ste 305
Woodland Hills, CA 91364-1754
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200727000385 | CA | Part A Provider - Hospice | 0446674279 | Practice locations: Woodland Hills, CA |
Hospice certification: CCN A11760
- Legal name
- GOLDEN AGE HOSPICE CARE INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Feb 21, 2021
- Last certification
- Feb 21, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Enrollment address
- 5311 Topanga Canyon Blvd
Ste 305
Woodland Hills, CA 91364-1754
Care Compare: Hospice
Medicare Care Compare- Listed as
- Golden Age Hospice Care Inc
- Ownership
- For-Profit
- Certified
- Feb 21, 2021
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
5311 Topanga Canyon Blvd
Ste 305
Woodland Hills, CA 91364
Phone (818) 533-2340
Ownership & related parties
All disclosed owners & managing parties 6
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Lana Geyber | Contracted Managing Employee | Jan 7, 2026 | |
| Paula Lynn Bailey-Walton | Contracted Managing Employee | Feb 1, 2026 | |
| Svetlana Rotaru | 5% Or Greater Direct Ownership Interest | May 17, 2019 | 50% |
| Corporate Officer | May 17, 2019 | 50% | |
| Corporate Director | May 17, 2019 | 50% | |
| W-2 Managing Employee | May 17, 2019 | 50% | |
| Dina Agazaryan | W-2 Managing Employee | Dec 1, 2022 | |
| Nadia Sobolev | W-2 Managing Employee | Dec 1, 2022 | |
| Svetlana Gurevich | 5% Or Greater Direct Ownership Interest | May 17, 2019 | 100% |
| Corporate Officer | May 17, 2019 | 100% | |
| Corporate Director | May 17, 2019 | 100% | |
| W-2 Managing Employee | May 17, 2019 | 50% |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1174646590
Contracted Managing Employee
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1386687440
Contracted Managing Employee
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": "1567296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1567296000000",
"number": "1366090466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5311 TOPANGA CANYON BLVD STE 305",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913641754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5311 TOPANGA CANYON BLVD STE 305",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913641754",
"telephone_number": "818-533-2340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN AGE HOSPICE CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-01",
"last_updated": "2019-09-01",
"status": "A",
"authorized_official_last_name": "GUREVICH",
"authorized_official_first_name": "SVETLANA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-533-2340",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2019; 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.