Active NPI
Good Life Home Health Group Inc
- Home Health Agency
- Tujunga, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2025
- 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
- Gayk Z Barakezyan
- Title
- Ceo
- Phone
- (818) 960-7377
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jul 24, 2020
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2290294 | Good Life Home Health Group Inc | Certificate of waiver | Sep 21, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Gayk Barakezyan | 5% Or Greater Direct Ownership Interest | Dec 3, 2024 | 100% |
| Corporate Officer | Dec 3, 2024 | 100% | |
| Corporate Director | Dec 3, 2024 | 100% | |
| W-2 Managing Employee | Dec 3, 2024 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1316956360
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.