Golden Oaks Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GOLDEN OAKS HOSPICE, INC.

Practice address

21021 Devonshire St
Suite 108
Chatsworth, CA 91311-2362

Phone

(818) 701-7141

Fax

(818) 701-7129

NPI assigned

Nov 1, 2011

Last updated

Nov 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Carla Tan Gomez

Title

President

Phone

(818) 701-7141

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1538445739. Details of each certification follow.

• CCN 751659 Hospice · Active · Details

Hospice certification: CCN 751659

Legal name

GOLDEN OAKS HOSPICE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 23, 2015

Last certification

Feb 24, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Aug 26, 2011 in CA

Enrollment address

21021 Devonshire St 108
Chatsworth, CA 91311-2362

Listed as

Golden Oaks Hospice, Inc.CCN 751659 · All quality measures

Ownership

For-Profit

Certified

Feb 23, 2015

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

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

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1538445739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21021 DEVONSHIRE ST",
            "address_2": "SUITE 108",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112362",
            "telephone_number": "818-701-7141",
            "fax_number": "818-701-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21021 DEVONSHIRE ST",
            "address_2": "SUITE 108",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112362",
            "telephone_number": "818-701-7141",
            "fax_number": "818-701-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN OAKS HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "TAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-701-7141",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Ghrist, BEHAVIOR THERAPIST
• Global Health Hospice, Inc
• Gocare Tranz
• Jacqueline Ganz Godfrey
• Izabella Gokhman, M.D.
• Golden Road Recovery LLC
• Golden State Hospice
• Golden Years Hospice Services, Inc
• Goldstar Healthcare Center of Chatsworth, Inc. (Goldstar Healthcare Center of Chatsworth)
• Pegah Golpanian, PHARMD

• Community Based Hospice Care Agency in Chatsworth, CA
• Providers in Chatsworth, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.

Verify at the official NPI Registry.