GOLDEN STATE HOME HEALTH AGENCY, INC
NPI 1578220182
Home Health in Canoga Park, CA

Q: What is Golden State Home Health Agency, Inc's NPI number?

The NPI number for Golden State Home Health Agency, Inc is 1578220182. It was assigned to this organization in the NPPES registry on November 18, 2021.

Q: What is Golden State Home Health Agency, Inc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since November 18, 2021CLIA 05D2309418 · Waiver

21133 VICTORY BLVD STE 203, CANOGA PARK, CA 91303(818) 835-9888 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Golden State Home Health Agency, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOLDEN STATE HOME HEALTH AGENCY, INC (NPI 1578220182) is a healthcare organization registered as a home health in Canoga Park, California and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through August 13, 2026 and lists Rafayel Nersisyan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1578220182

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameGOLDEN STATE HOME HEALTH AGENCY, INC

Location Address21133 VICTORY BLVD STE 203Canoga Park, CA 91303-4016

Mailing Address20741 Dolorosa StWoodland Hills, CA 91367-6837 · (310) 562-7382

Phone(818) 835-9888

Organization SubpartNo

Authorized OfficialRafayel NersisyanCeo · (310) 562-7382

Enumeration DateNovember 18, 2021

NPPES CertifiedNovember 18, 2021

✔ NPI 1578220182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

21133 VICTORY BLVD STE 203, Canoga Park, CA 91303

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2309418

Golden State Home Health Agency, Inc · Canoga Park, CA

Active · expires Aug 13, 2026

CLIA Number05D2309418

Laboratory TypeHome Health Agency

Certificate Effective DateAugust 14, 2024

Certificate Expiration DateAugust 13, 2026

Laboratory DirectorVictoria Borovsky

Laboratory Phone(818) 835-9888

Laboratory LocationGolden State Home Health Agency, Inc21133 Victory Blvd, Ste 203, Canoga Park, CA 91303

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Golden State Home Health Agency (CMS certification number 757414), from CMS Care Compare.

Golden State Home Health Agency

Home health agency · Canoga Park, CA

CMS Certification Number757414

Medicare-Certified SinceAugust 21, 2023

Phone(818) 835-9888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Golden State Home Health Agency, Inc's NPI number?

The NPI number for Golden State Home Health Agency, Inc is 1578220182. It was assigned to this organization in the NPPES registry on November 18, 2021.

Where is Golden State Home Health Agency, Inc located?

Golden State Home Health Agency, Inc is located at 21133 Victory Blvd Ste 203, Canoga Park, CA 91303. The listed phone number is (818) 835-9888.

What is Golden State Home Health Agency, Inc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Golden State Home Health Agency, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2309418) is associated with this NPI, valid through August 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Golden State Home Health Agency, Inc a Medicare-certified home health agency?

Yes. Golden State Home Health Agency is a Medicare-certified home health agency, certified since August 21, 2023.

When was this NPI record last updated?

The NPPES record for Golden State Home Health Agency, Inc was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.