Golden Haven Care Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GOLDEN HAVEN CARE CENTER LLC

Practice address

409 W Glenoaks Blvd
Glendale, CA 91202-2916

Phone

(818) 240-4300

NPI assigned

Jun 19, 2023

Last updated

Jun 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Martin Weiss

Title

President

Phone

(818) 960-0295

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912682972. Details of each certification follow.

• CCN 056317 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 056317

Legal name

GOLDEN HAVEN CARE CENTER LLC

Doing business as

GOLDEN HAVEN CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 25, 1985

Last certification

Dec 7, 2024

Beds

99

Ownership / control type

Corporation

Multi-facility organization

Tallis Corporation

Organization structure

LLCProprietary

Enrollment address

409 W Glenoaks Blvd
Glendale, CA 91202-2916

Nursing home name

GOLDEN HAVEN CARE CENTER

Listed as

Golden Haven Care CenterCCN 056317 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

2 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Sep 25, 1985

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9975.6 residents per day on average

Penalties (3 years)

4Fines totaling $74,602

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 23

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Samvel Hmayakyan, M.D.

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1538168174

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• RG Legacy I, LLC

  dba Golden Rose Care Center

  • Skilled Nursing Facility
  • Pasadena, CA
  • NPI 1851987234

  The Chani Levitin GST Non-Exempt Trust

  CMS ownership
• Santa Anita Convalescent Hospital & Retirement Center, Inc

  dba Santa Anita Convalescent Hospital

  • Skilled Nursing Facility
  • Arcadia, CA
  • NPI 1134175201

  Golden State Health Centers, Inc., The Chani Levitin GST Non-Exempt Trust

  CMS ownership

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Samvel Hmayakyan, M.D.

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1538168174

  Nursing home

  Care Compare affiliation
• Ayuna K Panossian, MD

  • Family Medicine Physician
  • Burbank, CA
  • NPI 1952423014

  Nursing home

  Care Compare affiliation
• Robert H Rivera, MD

  • Internal Medicine Physician
  • Burbank, CA
  • NPI 1659447977

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1912682972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13347 VENTURA BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914234267",
            "telephone_number": "818-960-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W GLENOAKS BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022916",
            "telephone_number": "818-240-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN HAVEN CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-18",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-960-0295"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Gold, MD
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• Golden Heart Home Health Care
• Golden Heart Hospice
• Golden Hearth Hospice, Inc
• Golden Hospice Care la Inc
• Golden Key Home Health Care Inc

• Skilled Nursing Facility in Glendale, CA
• Providers in Glendale, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.