Golden Valley Healthcare Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GOLDEN VALLEY HEALTHCARE INC

Practice address

19231 Victory Blvd Ste 200
Reseda, CA 91335-6330

Phone

(747) 297-6433

Fax

(747) 297-6434

NPI assigned

May 20, 2021

Organization subpart

No

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

Authorized official

Name

Norayr Hovhannisyan

Title

Ceo

Phone

(747) 297-6433

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757526

Legal name

GOLDEN VALLEY HEALTHCARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 24, 2024

Last certification

Jan 18, 2024

Organization structure

CorporationProprietary

Enrollment address

15928 Ventura Blvd
Ste 210
Encino, CA 91436-4410

Listed as

Golden Valley Healthcare IncCCN 757526

Overall star rating

2.5 of 5

Ownership

-

Certified

Jan 24, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1851966113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19231 VICTORY BLVD STE 200",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356330",
            "telephone_number": "747-297-6433",
            "fax_number": "747-297-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19231 VICTORY BLVD STE 200",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356330",
            "telephone_number": "747-297-6433",
            "fax_number": "747-297-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN VALLEY HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "HOVHANNISYAN",
        "authorized_official_first_name": "NORAYR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-297-6433"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Reseda, CA
• Providers in Reseda, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.

Verify at the official NPI Registry.