Active NPI
Gog Home Health Inc
- Home Health Agency
- Sherman Oaks, CA
National Provider Identifier
1770159618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GOG HOME HEALTH INC
- Practice address
- 15125 Ventura Blvd Ste 2-22
Sherman Oaks, CA 91403-3306 - Phone
- (818) 624-6360
- NPI assigned
- Jun 1, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Artur Jhangiryan
- Title
- Ceo
- Phone
- (818) 740-9813
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
15125 Ventura Blvd Ste 2-22
Sherman Oaks, CA 91403-3306
Mailing address
15125 Ventura Blvd Ste 2-22
Sherman Oaks, CA 91403-3306
Phone (818) 624-6360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230324000172 | CA | Part A Provider - Home Health Agency | 6406220904 | Practice locations: Glendale, CA |
Home health agency certification: CCN 757549
- Legal name
- GOG HOME HEALTH INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Feb 14, 2024
- Last certification
- Feb 14, 2024
- Organization structure
- Corporation
- Incorporated
- May 24, 2021 in CA
- Enrollment address
- 1010 N Central Ave
Ste 410
Glendale, CA 91202-2937
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Gog Home Health, Inc.
- Ownership
- -
- Certified
- Feb 14, 2024
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
15125 Ventura Blvd
Ste 222
Sherman Oaks, CA 91403
Phone (818) 740-9813
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Artur Jhangiryan | 5% Or Greater Direct Ownership Interest | Dec 5, 2024 | 51% |
| Corporate Officer | Dec 5, 2024 | 51% | |
| Corporate Director | Dec 5, 2024 | 51% | |
| Babken Marukhyan | 5% Or Greater Direct Ownership Interest | Dec 5, 2024 | 49% |
| Corporate Officer | Dec 5, 2024 | 49% | |
| Corporate Director | Dec 5, 2024 | 49% | |
| Lesia Kobzar | W-2 Managing Employee | Dec 5, 2024 |
Practitioners & affiliated clinicians
Affiliated clinicians 1
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": "1622505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1622505600000",
"number": "1770159618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15125 VENTURA BLVD STE 2-22",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914033306",
"telephone_number": "818-624-6360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15125 VENTURA BLVD STE 2-22",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914033306",
"telephone_number": "818-624-6360"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOG HOME HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-01",
"last_updated": "2021-06-01",
"certification_date": "2021-06-01",
"status": "A",
"authorized_official_last_name": "JHANGIRYAN",
"authorized_official_first_name": "ARTUR",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-740-9813"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.