MEDICARE: GOLDEN DAY HOME HEALTH, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1477134625
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDEN DAY HOME HEALTH, INC.

Provider Business Mailing Address
First Line	:	417 ARDEN AVE STE 105
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-4046
Country	:	US
Telephone Number	:	818-495-6652
Fax Number	:	818-495-6223

Provider Business Practice Location Address
First Line	:	417 ARDEN AVE STE 105
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-4046
Country	:	US
Telephone Number	:	818-495-6652
Fax Number	:	818-495-6223

Authorized Official
Title or Position	:	CEO
Name	:	SUSANNA HOVHANNISYAN
Credential	:
Telephone Number	:	818-495-6652

Provider Enumeration Date	:	04/19/2021
Last Update Date	:	05/25/2026

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