NPIMap

Organization Active NPI

Golden Life Home Health, Inc.

  • Home Health Agency
  • Canoga Park, CA
National Provider Identifier
1578101978
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOLDEN LIFE HOME HEALTH, INC.
Practice address
7301 Topanga Canyon Blvd # 355
Canoga Park, CA 91303-3395
Phone
(818) 287-7373
Fax
(818) 584-8856
NPI assigned
Dec 16, 2019
Last updated
Mar 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Authorized official

Name
Gayane Chopuryan
Title
Ceo
Phone
(818) 287-7373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

7301 Topanga Canyon Blvd # 355
Canoga Park, CA 91303-3395

Mailing address

7301 Topanga Canyon Blvd # 355
Canoga Park, CA 91303-3395
Phone (818) 287-7373

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201116002955 CA Part A Provider - Home Health Agency 7810308269 Practice locations: Canoga Park, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1578101978. Details of each certification follow.

Home health agency certification: CCN 559448

Legal name
GOLDEN LIFE HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 12, 2021
Last certification
May 12, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 18, 2019 in CA
Enrollment address
7301 Topanga Canyon Blvd
# 355
Canoga Park, CA 91303-3395

Care Compare: Home health agency

Medicare Care Compare
Listed as
Golden Life Home Health, IncCCN 559448 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
May 12, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

7301 Topanga Canyon Blvd
Ste 355
Canoga Park, CA 91303
Phone (818) 287-7373

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
Gayane Chopuryan Individual 5% Or Greater Direct Ownership InterestCeo/Board Member Nov 18, 2019 50%
Corporate OfficerCeo/Board Member Nov 18, 2019 50%
Corporate DirectorCeo/Board Member Nov 18, 2019 50%
W-2 Managing EmployeeCeo/Board Member Nov 18, 2019 50%
Dianna Hakobyan Individual 5% Or Greater Direct Ownership InterestCfo/Secretary/Board Member Nov 18, 2019 50%
Corporate OfficerCfo/Secretary/Board Member Nov 18, 2019 50%
Corporate DirectorCfo/Secretary/Board Member Nov 18, 2019 50%
W-2 Managing EmployeeCfo/Secretary/Board Member Nov 18, 2019 50%

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1578101978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 TOPANGA CANYON BLVD # 355",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033395",
            "telephone_number": "818-287-7373",
            "fax_number": "818-584-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 TOPANGA CANYON BLVD # 355",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033395",
            "telephone_number": "818-287-7373",
            "fax_number": "818-584-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN LIFE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "CHOPURYAN",
        "authorized_official_first_name": "GAYANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-287-7373"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

Verify at the official NPI Registry.