Active NPI
Golden Bird Home Health Care, Inc
- Home Health Agency
- Clovis, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GOLDEN BIRD HOME HEALTH CARE, INC
- Practice address
- 464 N Rogers Ave # 101
Clovis, CA 93611-0330 - Phone
- (559) 900-2777
- Fax
- (559) 712-8777
- NPI assigned
- Oct 5, 2019
- Last updated
- Sep 17, 2024
- 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
- Anna Gevorkyan, RPH
- Title
- Ceo
- Phone
- (559) 900-2777
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
464 N Rogers Ave # 101
Clovis, CA 93611-0330
Mailing address
464 N Rogers Ave # 101
Clovis, CA 93611-0330
Phone (559) 900-2777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210225000947 | CA | Part A Provider - Home Health Agency | 6002221074 | Practice locations: Clovis, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1861033375. Details of each certification follow.
Home health agency certification: CCN 559694
- Legal name
- GOLDEN BIRD HOME HEALTH CARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 14, 2021
- Last certification
- Jul 23, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jul 10, 2019 in CA
- Enrollment address
- 464 N Rogers Ave
101
Clovis, CA 93611-0330
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Golden Bird Home Health Care Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Aug 14, 2021
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
464 N Rogers Ave
Ste 101
Clovis, CA 93611
Phone (559) 900-2777
Ownership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Merdith Castro | W-2 Managing Employee | May 9, 2019 | |
| Vanik V Pogosyan | W-2 Managing Employee | Sep 1, 2024 | 100% |
| Flora Harutunian | 5% Or Greater Direct Ownership Interest | Sep 1, 2024 | 50% |
| Corporate Director | Aug 18, 2024 | 50% | |
| Anna Gevorkyan | 5% Or Greater Direct Ownership Interest | Sep 1, 2024 | 50% |
| Corporate Officer | Sep 1, 2024 | 50% | |
| Corporate Director | Sep 1, 2024 | 50% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Fresno, CA
- NPI 1396826178
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- General Practice Physician
- Fresno, CA
- NPI 1164713194
Home health agency
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1356725329
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726531200000",
"number": "1861033375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "464 N ROGERS AVE # 101",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936110330",
"telephone_number": "559-900-2777",
"fax_number": "559-712-8777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "464 N ROGERS AVE # 101",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936110330",
"telephone_number": "559-900-2777",
"fax_number": "559-712-8777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN BIRD HOME HEALTH CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-05",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A",
"authorized_official_last_name": "GEVORKYAN",
"authorized_official_first_name": "ANNA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "559-900-2777",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.