Organization Active NPI

GK Home Health

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1407426232
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GK HOME HEALTH
Practice address
2369 Colorado Blvd Ste 207
Los Angeles, CA 90041-1185
Phone
(747) 336-3013
NPI assigned
Jun 24, 2021
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
Grigor Aslanyan
Title
Ceo
Phone
(747) 336-3013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2369 Colorado Blvd Ste 207
Los Angeles, CA 90041-1185

Mailing address

2369 Colorado Blvd Ste 207
Los Angeles, CA 90041-1185

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210928001677 CA Part A Provider - Home Health Agency 7517364995 Practice locations: Van Nuys, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407426232. Details of each certification follow.

Home health agency certification: CCN 757390

Legal name
GK HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 15, 2023
Last certification
Sep 14, 2023
Organization structure
CorporationProprietary
Incorporated
May 24, 2021 in CA
Enrollment address
14531 Hamlin St
Ste 120
Van Nuys, CA 91411-4140

Care Compare: Home health agency

Medicare Care Compare
Listed as
GK Home HealthCCN 757390 · All quality measures
Overall star rating
3.5 of 5
Ownership
-
Certified
Sep 15, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

2369 Colorado Blvd
Ste 207
Los Angeles, CA 90041
Phone (747) 336-3013

14531 Hamlin St
Ste 120
Van Nuys, CA 91411
Phone (747) 336-3013

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
GK Med Group Organization, Los Angeles, CA Created for acquisition, Corporation 5% Or Greater Direct Ownership Interest May 24, 2021 100%
Grigor Aslanyan Individual 5% Or Greater Indirect Ownership Interest May 24, 2021 100%
Corporate OfficerCep/Cfo/Secretary May 24, 2021 100%
Corporate DirectorCep/Cfo/Secretary May 24, 2021 100%
W-2 Managing EmployeeCep/Cfo/Secretary May 24, 2021 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": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1407426232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2369 COLORADO BLVD STE 207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2369 COLORADO BLVD STE 207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411185",
            "telephone_number": "747-336-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GK HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "ASLANYAN",
        "authorized_official_first_name": "GRIGOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-336-3013"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.