Organization Active NPI

Golden Time Hospice, Inc.

  • Community Based Hospice Care Agency
  • Santa Clarita, CA
National Provider Identifier
1932712924
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GOLDEN TIME HOSPICE, INC.
Practice address
24355 Lyons Ave Ste 235
Santa Clarita, CA 91321-2389
Phone
(661) 490-9910
Fax
(661) 490-9920
NPI assigned
Aug 28, 2020
Last updated
Mar 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Authorized official

Name
Wendy Cho, RN
Title
Owner
Phone
(213) 700-4222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

24355 Lyons Ave Ste 235
Santa Clarita, CA 91321-2389

Mailing address

24355 Lyons Ave Ste 235
Santa Clarita, CA 91321-2389
Phone (661) 490-9910

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL WWW.GMAIL.COM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200917001351 CA Part A Provider - Hospice 7810315231 Practice locations: Santa Clarita, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932712924. Details of each certification follow.

Hospice certification: CCN B21684

Legal name
GOLDEN TIME HOSPICE, INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 29, 2021
Last certification
Jul 29, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Jul 13, 2020 in CA
Enrollment address
24355 Lyons Ave
Ste 235
Santa Clarita, CA 91321-2389

Care Compare: Hospice

Medicare Care Compare
Listed as
Golden Time Hospice, IncCCN B21684 · All quality measures
Ownership
For-Profit
Certified
Jul 29, 2021
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2230468Golden Time Hospice, Inc.24355 Lyons Ave Ste 212, Santa Clarita, CA 91321Certificate of waiverJul 22, 2027

National Provider Directory

National Provider Directory

Locations

24355 Lyons Ave
Ste 235
Santa Clarita, CA 91321
Phone (661) 490-9910

27125 Sierra Hwy
Ste 340
Santa Clarita, CA 91351
Phone (833) 324-1150

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Wendy Cho Individual 5% Or Greater Direct Ownership InterestCeo Jul 13, 2020 100%
Corporate OfficerCfo Jul 13, 2020 100%
Corporate DirectorSecretary Jul 13, 2020 100%
Daniel Cho Individual W-2 Managing EmployeeOffice Manager Aug 3, 2020

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": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1932712924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24355 LYONS AVE STE 235",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913212389",
            "telephone_number": "661-490-9910",
            "fax_number": "661-490-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24355 LYONS AVE STE 235",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913212389",
            "telephone_number": "661-490-9910",
            "fax_number": "661-490-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN TIME HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-700-4222",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.GMAIL.COM",
            "affiliation": "N",
            "address_1": "27125 Sierra Hwy Ste 340",
            "city": "Santa Clarita",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913515433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.