Elysium Home Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ELYSIUM HOME HEALTH CARE

Practice address

13746 Victory Blvd Ste 214
Van Nuys, CA 91401-6716

Phone

(818) 813-7628

Fax

(818) 478-3383

NPI assigned

Feb 1, 2019

Last updated

Feb 1, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lena Murazyan

Title

Ceo

Phone

(818) 813-7628

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 1316402597. Details of each certification follow.

• CCN 559690 Home health agency · Active · Details

Home health agency certification: CCN 559690

Legal name

ELYSIUM HOME HEALTH CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 3, 2021

Last certification

Nov 3, 2021

Organization structure

CorporationProprietary

Incorporated

Nov 6, 2018 in CA

Enrollment address

13746 Victory Blvd
Ste 214
Van Nuys, CA 91401-6716
HHA Branch

Listed as

Elysium Home Health CareCCN 559690 · All quality measures

Overall star rating

4.5 of 5

Ownership

-

Certified

Nov 3, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

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.

• Gevorg Ghazaryan, MD

  • Hospitalist Physician
  • Glendale, CA
  • NPI 1629288329

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548979200000",
    "number": "1316402597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13746 VICTORY BLVD STE 214",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016716",
            "telephone_number": "818-813-7628",
            "fax_number": "818-478-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13746 VICTORY BLVD STE 214",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016716",
            "telephone_number": "818-813-7628",
            "fax_number": "818-478-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYSIUM HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A",
        "authorized_official_last_name": "MURAZYAN",
        "authorized_official_first_name": "LENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-813-7628"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elpis Hospice Inc
• Eman Leah Elpusan
• Victoria Elsessere, COTA
• Yahya Ibrahim Elshimali, MD
• Brendan Elyasi
• Em Senior Living
• Emalyn Sanga-Forbes, D.D.S., Inc.
• Donny Emanuel, D.M.D.
• Emerald Home Health Services
• Emerald Hospice Care Inc

• Home Health Agency in Van Nuys, CA
• Providers in Van Nuys, 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 Feb 1, 2019; 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.