Organization Active NPI

Good Life Home Health Group Inc

  • Home Health Agency
  • Tujunga, CA
National Provider Identifier
1396214128
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOOD LIFE HOME HEALTH GROUP INC
Practice address
6906 Foothill Blvd Unit B
Tujunga, CA 91042-2713
Phone
(818) 960-7377
NPI assigned
Nov 22, 2018
Last updated
Nov 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Gayk Z Barakezyan
Title
Ceo
Phone
(818) 960-7377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6906 Foothill Blvd Unit B
Tujunga, CA 91042-2713

Mailing address

6906 Foothill Blvd Unit B
Tujunga, CA 91042-2713

Other identifiers 1

IdentifierTypeStateIssuer
1MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190729001522 CA Part A Provider - Home Health Agency 3476889411 Practice locations: Tujunga, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396214128. Details of each certification follow.

Home health agency certification: CCN 559101

Legal name
GOOD LIFE HOME HEALTH GROUP INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 24, 2020
Last certification
Jul 24, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
6906 Foothill Blvd
Ste B
Tujunga, CA 91042-2713

Care Compare: Home health agency

Medicare Care Compare
Listed as
Good Life Home Health Group, IncCCN 559101 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Jul 24, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2290294Good Life Home Health Group Inc6906 Foothill Blvd Suite B, Tujunga, CA 91042Certificate of waiverSep 21, 2027

National Provider Directory

National Provider Directory

Locations

6906 Foothill Blvd
Ste B
Tujunga, CA 91042
Phone (818) 960-7377

6906 Foothill Blvd
Unit B
Tujunga, CA 91042
Phone (818) 280-9082

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
Gayk Barakezyan Individual 5% Or Greater Direct Ownership Interest Dec 3, 2024 100%
Corporate OfficerCo/100%/Owner Dec 3, 2024 100%
Corporate DirectorCo/100%/Owner Dec 3, 2024 100%
W-2 Managing EmployeeCo/100%/Owner Dec 3, 2024 100%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1542844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1396214128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6906 FOOTHILL BLVD UNIT B",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910422713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6906 FOOTHILL BLVD UNIT B",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910422713",
            "telephone_number": "818-960-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIFE HOME HEALTH GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-22",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "BARAKEZYAN",
        "authorized_official_first_name": "GAYK",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-960-7377"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tujunga, CA

Sources for this page

Verify at the official NPI Registry.