GOLDEN STATE HOMES, INC.
NPI 1932658010
Skilled Nursing Facility in Los Angeles, CA

Active since September 29, 2016CLIA 05D2188433 · Waiver
1409 N NORMANDIE AVE, LOS ANGELES, CA 90027(818) 731-1199 Get Directions Write a Review

NPPES record last updated: September 29, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Golden State Homes, Inc. NPPES

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

GOLDEN STATE HOMES, INC. (NPI 1932658010) is a healthcare organization registered as a skilled nursing facility in Los Angeles, California and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through July 15, 2028 and lists Metksya Diremsizyan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1932658010
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameGOLDEN STATE HOMES, INC.
Location Address1409 N NORMANDIE AVELos Angeles, CA 90027-5817
Mailing Address1409 N Normandie AveLos Angeles, CA 90027-5817 · (818) 731-1199
Organization SubpartNo
Authorized OfficialMetksya DiremsizyanCeo · (818) 731-1199
Enumeration DateSeptember 29, 2016
NPI 1932658010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
1409 N NORMANDIE AVE, Los Angeles, CA 90027

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 05D2188433

Golden State Homes Inc · Los Angeles, CA
Active · expires Jul 15, 2028
CLIA Number05D2188433
Laboratory TypeCongregate Facility
Certificate Effective DateJuly 16, 2026
Certificate Expiration DateJuly 15, 2028
Laboratory DirectorBob Abrishami
Laboratory Phone(323) 230-4488
Laboratory LocationGolden State Homes Inc1409 N Normandie Ave, Los Angeles, CA 90027
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Homes, Inc.'s NPI number?

The NPI number for Golden State Homes, Inc. is 1932658010. It was assigned to this organization in the NPPES registry on September 29, 2016.

Where is Golden State Homes, Inc. located?

Golden State Homes, Inc. is located at 1409 N Normandie Ave, Los Angeles, CA 90027. The listed phone number is (818) 731-1199.

What is Golden State Homes, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Golden State Homes, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2188433) is associated with this NPI, valid through July 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Golden State Homes, Inc. was last updated on September 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.