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
-
Michael Katiraie, DO
Medicare Care Compare: Home health agency
- Listed as
- Ellite Home Health Inc.
- Ownership
- -
- Certified
- Oct 21, 2025
- Medicare certification status
- Active
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
All disclosed owners & managing parties 2
| 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% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ellitehomehealth@gmail.com |
Other providers in Arleta, CA
- Deanna Antoinette Ductoc
- El Proyecto del Barrio, Inc.
- El Proyecto del Barrio, Inc.
- El Proyecto Managed Care, LLC
- Elite Ventures Inc
- Elpis Home Health Services
- Maribel Enriquez
- Jasmine Esparza
- Mehran Fakheri
- FHMC Group Inc
All providers in Arleta, CA · Home Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.