Organization Active NPI

G.S.a. Home Health Care, Inc.

  • Home Health Agency
  • Burbank, CA
National Provider Identifier
1679042402
Registry record updated Nov 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
G.S.A. HOME HEALTH CARE, INC.
Practice address
2829 N Glenoaks Blvd Ste 106
Burbank, CA 91504-2660
Phone
(818) 588-3791
NPI assigned
Nov 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2018

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

Authorized official

Name
Sarkis Akhverdyan
Title
Ceo
Phone
(818) 588-3791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2829 N Glenoaks Blvd Ste 106
Burbank, CA 91504-2660

Mailing address

2829 N Glenoaks Blvd Ste 106
Burbank, CA 91504-2660

Other identifiers 1

IdentifierTypeStateIssuer
1MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210222000657 CA Part A Provider - Home Health Agency 0446665624 Practice locations: Burbank, CA

Home health agency certification: CCN 559471

Legal name
GSA HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 28, 2021
Last certification
Apr 28, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
2829 N Glenoaks Blvd
Suite 105
Burbank, CA 91504-2660

Care Compare: Home health agency

Medicare Care Compare
Listed as
G.S.a. Home Health Care, IncCCN 559471
Ownership
Proprietary
Certified
Apr 28, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2303899Gsa Home Health Care Inc2829 N Glenoaks Blvd Suite 105, Burbank, CA 91504Certificate of waiverMay 1, 2028

National Provider Directory

National Provider Directory

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
Sarkis Akhverdyan Individual 5% Or Greater Direct Ownership InterestCeo Jan 26, 2018 100%
Corporate OfficerCeo Jan 26, 2018 100%
Corporate DirectorCeo Jan 26, 2018 100%
W-2 Managing EmployeeCeo Jan 26, 2018 100%

Practitioners & affiliated clinicians

Affiliated clinicians 8

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": "1542844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542844800000",
    "number": "1679042402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 N GLENOAKS BLVD STE 106",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 N GLENOAKS BLVD STE 106",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042660",
            "telephone_number": "818-588-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G.S.A. HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-22",
        "last_updated": "2018-11-22",
        "status": "A",
        "authorized_official_last_name": "AKHVERDYAN",
        "authorized_official_first_name": "SARKIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-588-3791"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.