Organization Active NPI

Golden Hearts Home Health

  • Home Health Agency
  • Sun Valley, CA
National Provider Identifier
1992194617
Registry record updated Jan 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOLDEN HEARTS HOME HEALTH
Practice address
7200 Vineland Ave
Suite 203
Sun Valley, CA 91352-5077
Phone
(323) 839-4410
Fax
(818) 301-2339
NPI assigned
Jan 19, 2015
Last updated
Jan 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2015

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

Authorized official

Name
Ms. Suzanna Bozukyan
Title
Ceo
Phone
(323) 839-4410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7200 Vineland Ave
Suite 203
Sun Valley, CA 91352-5077

Mailing address

7200 Vineland Ave
Suite 203
Sun Valley, CA 91352-5077
Phone (323) 839-4410

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161207000214 CA Part A Provider - Home Health Agency 8921388000 Practice locations: Sun Valley, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992194617. Details of each certification follow.

Home health agency certification: CCN 053107

Legal name
GOLDEN HEARTS HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 14, 2017
Last certification
May 20, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 23, 2014 in CA
Enrollment address
7200 Vineland Ave
Unit 203
Sun Valley, CA 91352-5089
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Golden Hearts Home HealthCCN 053107 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jun 14, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
05D2101195Golden Hearts Home Health7200 Vineland Ave Ste 203, Sun Valley, CA 91352Certificate of waiverAug 27, 2027

National Provider Directory

National Provider Directory

Locations

7200 Vineland Ave
Unit 203
Sun Valley, CA 91352
Phone (323) 839-4410

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
Suzanna Bozukyan Individual 5% Or Greater Direct Ownership InterestCeo Apr 23, 2014 50%
Corporate OfficerCfo Apr 23, 2014 50%
Operational/Managerial ControlCeo Apr 23, 2014 50%
Zhenik Keshishyan Individual 5% Or Greater Direct Ownership InterestCfo Apr 23, 2014 50%
Corporate OfficerCeo Apr 23, 2014 50%
Corporate Director Apr 23, 2014 100%

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1421625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421625600000",
    "number": "1992194617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 VINELAND AVE",
            "address_2": "SUITE 203",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913525077",
            "telephone_number": "323-839-4410",
            "fax_number": "818-301-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 VINELAND AVE",
            "address_2": "SUITE 203",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913525077",
            "telephone_number": "323-839-4410",
            "fax_number": "818-301-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN HEARTS HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-19",
        "last_updated": "2015-01-19",
        "status": "A",
        "authorized_official_last_name": "BOZUKYAN",
        "authorized_official_first_name": "SUZANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-839-4410",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Valley, CA

Sources for this page

Verify at the official NPI Registry.