Elysium Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ELYSIUM HOME HEALTH INC

Practice address

5958 Vineland Ave Ste J
North Hollywood, CA 91601-1329

Phone

(818) 358-4904

Fax

(818) 358-4928

NPI assigned

Oct 13, 2021

Organization subpart

No

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

Authorized official

Name

Garri Atabekyan

Title

Ceo

Phone

(818) 358-4904

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757607

Legal name

ELYSIUM HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 20, 2024

Last certification

Mar 20, 2024

Organization structure

CorporationProprietary

Enrollment address

5958 Vineland Ave
Ste J
North Hollywood, CA 91601-1329

Listed as

Elysium Home Health IncCCN 757607

Overall star rating

2.5 of 5

Ownership

-

Certified

Mar 20, 2024

Medicare certification status

ActiveFrom the Provider of Services file

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.

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1376205641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5958 VINELAND AVE STE J",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916011329",
            "telephone_number": "818-358-4904",
            "fax_number": "818-358-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5958 VINELAND AVE STE J",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916011329",
            "telephone_number": "818-358-4904",
            "fax_number": "818-358-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYSIUM HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "ATABEKYAN",
        "authorized_official_first_name": "GARRI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-358-4904"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in North Hollywood, CA
• Providers in North Hollywood, 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 Oct 13, 2021; 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.