Organization Active NPI

Gold Country Home Health

  • Home Health Agency
  • Folsom, CA
National Provider Identifier
1891385449
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOLD COUNTRY HOME HEALTH
Practice address
1024 Iron Point Rd
Folsom, CA 95630-8013
Phone
(805) 728-0584
NPI assigned
Jan 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Authorized official

Name
Ketan Patel
Title
Secretory
Phone
(805) 728-0584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1024 Iron Point Rd
Folsom, CA 95630-8013

Mailing address

19518 Griffith Dr
Santa Clarita, CA 91350-1764
Phone (805) 728-0584

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210421000243 CA Part A Provider - Home Health Agency 3870901499 Practice locations: Sacramento, CA

Home health agency certification: CCN 757256

Legal name
GOLD COUNTRY HOME HEALTH
Doing business as
SAPPHIRE NORTH VALLEY HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 16, 2023
Last certification
Mar 22, 2023
Organization structure
CorporationProprietary
Incorporated
Jan 1, 2021 in CA
Enrollment address
2255 Watt Ave
Ste 395
Sacramento, CA 95825-0574

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sapphire North Valley Home HealthCCN 757256
Overall star rating
2 of 5
Ownership
-
Certified
Apr 16, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

2255 Watt Ave
Ste 395
Sacramento, CA 95825
Phone (916) 235-6994

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
Judy D Aquino Individual W-2 Managing EmployeeAdministrator Sep 15, 2023 100%
Operational/Managerial ControlAdministrator Sep 15, 2023 100%
Jayshree Patel Individual 5% Or Greater Direct Ownership InterestCeo / President Jan 1, 2021 50%
Corporate OfficerCeo / President Jan 1, 2021 50%
Corporate DirectorCeo / President Jan 1, 2021 50%
W-2 Managing EmployeeCeo / President Jan 1, 2021 100%
Vidya Ajudia Individual 5% Or Greater Direct Ownership InterestCfo Jan 1, 2021 50%
Corporate OfficerCfo Jan 1, 2021 50%
Corporate DirectorCfo Jan 1, 2021 50%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1891385449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19518 GRIFFITH DR",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913501764",
            "telephone_number": "805-728-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 IRON POINT RD",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956308013",
            "telephone_number": "805-728-0584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD COUNTRY HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KETAN",
        "authorized_official_title_or_position": "SECRETORY",
        "authorized_official_telephone_number": "805-728-0584"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.