Organization Active NPI

Gold Coast Home Health, Inc.

  • Home Health Agency
  • Tujunga, CA
National Provider Identifier
1538748058
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOLD COAST HOME HEALTH, INC.
Practice address
7578 Foothill Blvd Ste a
Tujunga, CA 91042-2117
Phone
(818) 446-7511
NPI assigned
Apr 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Authorized official

Name
Armen Soghomonyan
Title
Ceo
Phone
(818) 446-7511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7578 Foothill Blvd Ste a
Tujunga, CA 91042-2117

Mailing address

7578 Foothill Blvd Ste a
Tujunga, CA 91042-2117
Phone (818) 446-7511

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210821000015 CA Part A Provider - Home Health Agency 4587069075 Practice locations: Tujunga, CA

Home health agency certification: CCN 757190

Legal name
GOLD COAST HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 15, 2023
Last certification
Jan 25, 2023
Organization structure
CorporationProprietary
Incorporated
Mar 26, 2021 in CA
Enrollment address
7578 Foothill Blvd
Ste a
Tujunga, CA 91042-2117

Care Compare: Home health agency

Medicare Care Compare
Listed as
Gold Coast Home Health, Inc.CCN 757190 · All quality measures
Overall star rating
4 of 5
Ownership
-
Certified
Feb 15, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

7578 Foothill Blvd
Ste A
Tujunga, CA 91042
Phone (818) 446-7511

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
Armen Soghomonyan Individual 5% Or Greater Direct Ownership Interest Mar 26, 2021 100%
Corporate OfficerCeo/President/Cfo/Secretary/Boar Mar 26, 2021 10%
Corporate DirectorCeo/President/Cfo/Secretary/Boar Mar 26, 2021 100%
W-2 Managing EmployeeCeo/President/Cfo/Secretary/Boar Mar 26, 2021 100%

NPI Registry JSON

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617321600000",
    "number": "1538748058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7578 FOOTHILL BLVD STE A",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910422117",
            "telephone_number": "818-446-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7578 FOOTHILL BLVD STE A",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910422117",
            "telephone_number": "818-446-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD COAST HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A",
        "authorized_official_last_name": "SOGHOMONYAN",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-446-7511"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tujunga, CA

Sources for this page

Verify at the official NPI Registry.