Organization Active NPI

Vitagold Home Health Care Inc

  • Home Health Agency
  • Santa Clarita, CA
National Provider Identifier
1376113118
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VITAGOLD HOME HEALTH CARE INC
Practice address
24881 Railroad Ave Ste 205
Santa Clarita, CA 91321-1589
Phone
(818) 431-0404
NPI assigned
Jun 24, 2021
Last updated
Jun 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Authorized official

Name
Ara AsoyanNPI 1861061640
Title
Ceo
Phone
(818) 431-0404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

24881 Railroad Ave Ste 205
Santa Clarita, CA 91321-1589

Mailing address

24881 Railroad Ave Ste 205
Santa Clarita, CA 91321-1589
Phone (818) 431-0404

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231016000375 CA Part A Provider - Home Health Agency 3779938592 Practice locations: Santa Clarita, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376113118. Details of each certification follow.

Home health agency certification: CCN 757683

Legal name
VITAGOLD HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 16, 2024
Last certification
Jul 10, 2024
Organization structure
CorporationProprietary
Incorporated
Jun 4, 2021 in CA
Enrollment address
24881 Railroad Ave
Ste 205
Santa Clarita, CA 91321-1589

Care Compare: Home health agency

Medicare Care Compare
Listed as
Vitagold Home Health Care, IncCCN 757683 · All quality measures
Ownership
-
Certified
Jul 16, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

24881 Railroad Ave
Ste 205
Santa Clarita, CA 91321
Phone (661) 441-6158

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
Ara Asoyan Individual 5% Or Greater Direct Ownership InterestCeo Jun 4, 2021 100%
Corporate OfficerCeo Jun 4, 2021 100%
Corporate DirectorCeo Jun 4, 2021 100%
W-2 Managing EmployeeCeo Jun 4, 2021 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1376113118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24881 RAILROAD AVE STE 205",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913211589",
            "telephone_number": "818-431-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24881 RAILROAD AVE STE 205",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913211589",
            "telephone_number": "818-431-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAGOLD HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "ASOYAN",
        "authorized_official_first_name": "ARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-431-0404"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.