Organization Active NPI

Shoushan Gukasyan

Doing business as A Homecare Device Co.

  • Prosthetic/Orthotic Supplier
  • North Hollywood, CA
National Provider Identifier
1548355365
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
R16755 Issued in CA
Legal business name
SHOUSHAN GUKASYAN
Doing business as
A Homecare Device Co.
Practice address
8217 Lankershim Blvd Ste 29
North Hollywood, CA 91605-0937
Phone
(818) 767-7003
Fax
(818) 767-1781
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Vartan Gukasyan, HMDR EXEMPTEE
Title
General Manager
Phone
(818) 767-7003

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 102722 CA
Oxygen Equipment & Supplies (DME) 332BX2000X 16831 CA
Prosthetic/Orthotic Supplier 335E00000X R16755 CA Primary

Addresses

Primary practice location

8217 Lankershim Blvd Ste 29
North Hollywood, CA 91605-0937

Mailing address

905 Graynold Ave
Glendale, CA 91202-2638
Phone (818) 956-8234

Other identifiers 1

IdentifierTypeStateIssuer
DME03085FMedicaidCA

Other names 1

  • A HOMECARE DEVICE CO. Doing business as

National Provider Directory

National Provider Directory

Locations

8217 Lankershim Blvd
Ste 29
North Hollywood, CA 91605
Phone (818) 767-7003

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1548355365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 GRAYNOLD AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022638",
            "telephone_number": "818-956-8234",
            "fax_number": "818-767-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8217 LANKERSHIM BLVD STE 29",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916050937",
            "telephone_number": "818-767-7003",
            "fax_number": "818-767-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOUSHAN GUKASYAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GUKASYAN",
        "authorized_official_first_name": "VARTAN",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "818-767-7003",
        "authorized_official_credential": "HMDR EXEMPTEE"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "102722",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CA",
            "license": "16831",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "R16755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03085F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A HOMECARE DEVICE CO.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.