Organization Active NPI

Gog Home Health Inc

  • Home Health Agency
  • Sherman Oaks, CA
National Provider Identifier
1770159618
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jun 1, 2021

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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.CCN 757549
Ownership
-
Certified
Feb 14, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Artur Jhangiryan Individual 5% Or Greater Direct Ownership InterestCfo Dec 5, 2024 51%
Corporate OfficerCfo Dec 5, 2024 51%
Corporate DirectorChairman of the Board Dec 5, 2024 51%
Babken Marukhyan Individual 5% Or Greater Direct Ownership InterestCeo Dec 5, 2024 49%
Corporate OfficerCeo Dec 5, 2024 49%
Corporate DirectorChairman of the Board Dec 5, 2024 49%
Lesia Kobzar Individual W-2 Managing EmployeeAd;DPCS 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

Verify at the official NPI Registry.