Organization Active NPI

Ellite Home Health Inc

  • Home Health Agency
  • Arleta, CA
National Provider Identifier
1457001067
Registry record updated Jan 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 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
Last updated
Jan 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2024

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

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 1

TypeEndpointUseAffiliation
Other URL ellitehomehealth@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457001067. Details of each certification follow.

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
CorporationProprietary
Enrollment address
8953 Woodman Ave
Suite 205
Arleta, CA 91331
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ellite Home Health Inc.CCN 758209 · All quality measures
Ownership
-
Certified
Oct 21, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

8953 Woodman Ave
Ste 205
Arleta, CA 91331
Phone (747) 247-1206

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

Ownership & related parties

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 InterestCeo May 16, 2025 100%
Corporate OfficerCeo May 16, 2025 100%
W-2 Managing EmployeeOffice 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%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1648252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704585600000",
    "number": "1457001067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8953 WOODMAN AVE STE 205",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "913316485",
            "telephone_number": "818-960-3122",
            "fax_number": "818-962-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8953 WOODMAN AVE STE 205",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "913316485",
            "telephone_number": "818-960-3122",
            "fax_number": "818-962-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLITE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-26",
        "last_updated": "2024-01-07",
        "certification_date": "2024-01-07",
        "status": "A",
        "authorized_official_last_name": "DANIELYAN",
        "authorized_official_first_name": "SARGIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-960-3122"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ellitehomehealth@gmail.com",
            "affiliation": "N",
            "address_1": "8953 Woodman Ave Ste 205",
            "city": "Arleta",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913316485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arleta, CA

Sources for this page

Verify at the official NPI Registry.