General Medical Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GENERAL MEDICAL HOME HEALTH

Practice address

6470 Foothill Blvd Ste D
Tujunga, CA 91042-2729

Phone

(818) 731-3565

Fax

(888) 543-9468

NPI assigned

Jun 24, 2020

Last updated

Jun 24, 2020By 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

Gagik J Mkhitaryan

Title

Ceo/Administrator

Phone

(818) 731-3565

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 1922624048. Details of each certification follow.

• CCN 559614 Home health agency · Active · Details

Home health agency certification: CCN 559614

Legal name

GENERAL MEDICAL HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 30, 2021

Last certification

Sep 17, 2021

Organization structure

CorporationProprietary

Incorporated

May 28, 2020 in CA

Enrollment address

6470 Foothill Blvd
Ste D
Tujunga, CA 91042-2729

Listed as

General Medical Home HealthCCN 559614 · All quality measures

Overall star rating

2.5 of 5

Ownership

-

Certified

Sep 30, 2021

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

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

Affiliated clinicians 2

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

• Timur R Pogodin, M.D

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1972994853

  Home health agency

  Care Compare affiliation
• Ara Shafrazian

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1053706234

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1922624048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6470 FOOTHILL BLVD STE D",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910422729",
            "telephone_number": "818-731-3565",
            "fax_number": "888-543-9468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6470 FOOTHILL BLVD STE D",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910422729",
            "telephone_number": "818-731-3565",
            "fax_number": "888-543-9468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL MEDICAL HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "MKHITARYAN",
        "authorized_official_first_name": "GAGIK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "818-731-3565"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Maria Garcia, LVN
• Ja'Son C. Gardner
• Garfield Beach CVS LLC (CVS Pharmacy #09786)
• Lilith Garibyan, NP
• General Hospice Inc
• General Medical Hospice
• Joseph Andre Gharapians
• Adrine Ghazarian, MA,BCBA
• Joseph Girillo, LMFT
• Gold Coast Home Health, Inc.

• Home Health Agency in Tujunga, CA
• Providers in Tujunga, 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 Jun 24, 2020; 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.