Active NPI
Ellite Home Health Inc
- Home Health Agency
- Arleta, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ellitehomehealth@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Enrollment address
- 8953 Woodman Ave
Suite 205
Arleta, CA 91331
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Ellite Home Health Inc.
- Ownership
- -
- Certified
- Oct 21, 2025
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Angela Khacheryan | 5% Or Greater Indirect Ownership Interest | May 16, 2025 | 100% |
| Corporate Officer | May 16, 2025 | 100% | |
| W-2 Managing Employee | May 16, 2025 | 100% | |
| Khacheryan Healthcare Management Inc | 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
- Deanna Antoinette Ductoc, MS, ATC, CEAS
- El Proyecto del Barrio, Inc.
- El Proyecto del Barrio, Inc. (El Proyecto del Barrio, Inc.- Esperanza Dental Clinic)
- El Proyecto Managed Care, LLC
- Elite Ventures Inc (Ambiance Detox and Recovery)
- Elpis Home Health Services
- Maribel Enriquez
- Jasmine Esparza
- Mehran Fakheri, D.D.S.
- FHMC Group Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2024; 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.