Ellite Home Health Inc

Organization Active NPI Home Health Agency · Arleta, CA

NPI 1457001067 · NPPES record last updated Jan 7, 2024

Key facts

NPI
1457001067
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
Legal business name
ELLITE HOME HEALTH INC
Practice address
8953 Woodman Ave Ste 205
Arleta, CA 91331-6485
Phone
(818) 960-3122
Fax
(818) 962-0773
NPI assigned
Mar 26, 2022
Organization subpart
No

Authorized official

Name
Sargis Danielyan
Title
Ceo
Phone
(818) 960-3122

Affiliated clinicians 1

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

Medicare Care Compare: Home health agency

Listed as
Ellite Home Health Inc. CCN 758209
Ownership
-
Certified
Oct 21, 2025
Medicare certification status
Active (Provider of Services file)

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Home health agency certification: CCN 758209

Legal name
ELLITE HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 21, 2025
Last certification
Oct 21, 2025
Organization structure
Corporation · Proprietary
Enrollment address
8953 Woodman Ave
Suite 205
Arleta, CA 91331
HHA Branch

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Angela Khacheryan
Individual
5% Or Greater Indirect Ownership Interest
Ceo
May 16, 2025 100%
Corporate Officer
Ceo
May 16, 2025 100%
W-2 Managing Employee
Office Manager
May 16, 2025 100%
Khacheryan Healthcare Management Inc
Organization · Arleta, CA
Corporation, For-profit, Owned by another organization or individual
5% Or Greater Direct Ownership Interest May 16, 2025 100%

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250804000826 CA Part a Provider - Home Health Agency 3072021864 Practice locations: Arleta, CA

National Provider Directory

Locations

7648 San Fernando Rd
Sun Valley, CA 91352
Phone (818) 960-3122

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Yes

Addresses

Primary practice location

8953 Woodman Ave Ste 205
Arleta, CA 91331-6485

Mailing address

8953 Woodman Ave Ste 205
Arleta, CA 91331-6485
Phone (818) 960-3122

Electronic endpoints

TypeEndpointUseAffiliation
Other URL ellitehomehealth@gmail.com

Other providers in Arleta, CA

All providers in Arleta, CA · Home Health Agency in California

Sources for this page

Verify at the official NPI Registry.