Extended Life Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EXTENDED LIFE HOME HEALTH

Practice address

28310 Roadside Dr Ste 138
Agoura Hills, CA 91301-4960

Phone

(800) 273-2585

Fax

(800) 273-2585

NPI assigned

Nov 4, 2022

Last updated

Nov 4, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

ELHH INVESTMENTS, INC.As reported in NPPES

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

Authorized official

Name

Mr. Mark Arakelian

Title

Ceo

Phone

(800) 273-2585

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205543642. Details of each certification follow.

• CCN 757886 Home health agency · Active · Details

Home health agency certification: CCN 757886

Legal name

EXTENDED LIFE HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 17, 2025

Last certification

Mar 5, 2025

Organization structure

CorporationProprietary

Enrollment address

28310 Roadside Dr
Ste 138
Agoura Hills, CA 91301-4960

Listed as

Extended Life Home HealthCCN 757886 · All quality measures

Ownership

-

Certified

Mar 17, 2025

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

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

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Clem Dulce Rodriguez, MD

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1134394034

  Home health agency

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1205543642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28310 ROADSIDE DR STE 138",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014960",
            "telephone_number": "800-273-2585",
            "fax_number": "800-273-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28310 ROADSIDE DR STE 138",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014960",
            "telephone_number": "800-273-2585",
            "fax_number": "800-273-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDED LIFE HOME HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELHH INVESTMENTS, INC.",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "ARAKELIAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-273-2585",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley Nicholle Escover, MA LMFT
• Alifa Esmail, PHARMD
• Esteem Dermatology Medical Group, Incorporated
• Evolve Growth Initiatives LLC
• Evolve Home Health
• Ako Eyong
• Sloane Fabricius, LMFT
• Family Psychological Services Inc
• Youstina Farag
• Jamshid Veria Farahyar

• Home Health Agency in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.