Active NPI
Golden State Homes, Inc.
- Skilled Nursing Facility
- Los Angeles, CA
National Provider Identifier
1932658010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- GOLDEN STATE HOMES, INC.
- Practice address
- 1409 N Normandie Ave
Los Angeles, CA 90027-5817 - Phone
- (818) 731-1199
- NPI assigned
- Sep 29, 2016
- 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
- Metksya Diremsizyan
- Title
- Ceo
- Phone
- (818) 731-1199
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1409 N Normandie Ave
Los Angeles, CA 90027-5817
Mailing address
1409 N Normandie Ave
Los Angeles, CA 90027-5817
Phone (818) 731-1199
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2188433 | Golden State Homes Inc | Certificate of waiver | Jul 15, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475107200000",
"number": "1932658010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1409 N NORMANDIE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900275817",
"telephone_number": "818-731-1199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 N NORMANDIE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900275817",
"telephone_number": "818-731-1199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN STATE HOMES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-29",
"last_updated": "2016-09-29",
"status": "A",
"authorized_official_last_name": "DIREMSIZYAN",
"authorized_official_first_name": "METKSYA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-731-1199"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Golden Seal Home Health, Inc
- Golden Star Labs LLC
- Golden State Emergency Physicians Inc
- Golden State Family Clinic
- Golden State Home Care Inc
- Golden State Integrative Health, Naturopathic PC (Golden State Integrative Health)
- Golden State Recuperative Care, Inc.
- Golden State Rehab LLC
- Golden State Van Rides LLC (Golden Van Rides)
- Golden Steps Podiatry
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.