Organization Active NPI

Golden Road Home Health Agency Inc

  • Home Health Agency
  • Northridge, CA
National Provider Identifier
1437851706
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOLDEN ROAD HOME HEALTH AGENCY INC
Practice address
8448 Reseda Blvd Ste 206
Northridge, CA 91324-5993
Phone
(818) 643-5332
NPI assigned
Mar 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Avetis Arutiunian
Title
Ceo
Phone
(818) 643-5332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

8448 Reseda Blvd Ste 206
Northridge, CA 91324-5993

Mailing address

8448 Reseda Blvd Ste 206
Northridge, CA 91324-5993

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250128002500 CA Part A Provider - Home Health Agency 2769911387 Practice locations: Northridge, CA

Home health agency certification: CCN 758014

Legal name
GOLDEN ROAD HOME HEALTH AGENCY INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 26, 2025
Last certification
May 7, 2025
Organization structure
CorporationProprietary
Enrollment address
8448 Reseda Blvd
Ste 206
Northridge, CA 91324-5993
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Golden Road Home Health Agency IncCCN 758014 ยท All quality measures
Ownership
-
Certified
May 26, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

8448 Reseda Blvd
Ste 206
Northridge, CA 91324
Phone (747) 202-5244

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
David Arutiunian Individual 5% Or Greater Direct Ownership Interest Nov 5, 2024 25%
Abraham Ter-Petrosyan Individual 5% Or Greater Direct Ownership Interest Nov 5, 2024 25%
Hakob Ter-Petrosyan Individual 5% Or Greater Direct Ownership Interest Nov 5, 2024 25%
Avetis Arutiunian Individual 5% Or Greater Direct Ownership Interest Nov 5, 2024 25%
Corporate Officer Nov 5, 2024 25%
Corporate Director Nov 5, 2024 25%
W-2 Managing Employee Nov 5, 2024 25%

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1437851706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8448 RESEDA BLVD STE 206",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913245993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8448 RESEDA BLVD STE 206",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913245993",
            "telephone_number": "818-643-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN ROAD HOME HEALTH AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "ARUTIUNIAN",
        "authorized_official_first_name": "AVETIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-643-5332"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.