Active NPI
Gold Country Home Health
- Home Health Agency
- Folsom, CA
National Provider Identifier
1891385449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Health
- Overall star rating
- Ownership
- -
- Certified
- Apr 16, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Judy D Aquino | W-2 Managing Employee | Sep 15, 2023 | 100% |
| Operational/Managerial Control | Sep 15, 2023 | 100% | |
| Jayshree Patel | 5% Or Greater Direct Ownership Interest | Jan 1, 2021 | 50% |
| Corporate Officer | Jan 1, 2021 | 50% | |
| Corporate Director | Jan 1, 2021 | 50% | |
| W-2 Managing Employee | Jan 1, 2021 | 100% | |
| Vidya Ajudia | 5% Or Greater Direct Ownership Interest | Jan 1, 2021 | 50% |
| Corporate Officer | Jan 1, 2021 | 50% | |
| Corporate Director | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.