Organization Active NPI

Elit Home Health Care, Inc.

  • Home Health Agency
  • Tarzana, CA
National Provider Identifier
1588324529
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ELIT HOME HEALTH CARE, INC.
Practice address
19634 Ventura Blvd Ste 207
Tarzana, CA 91356-7139
Phone
(800) 828-1847
NPI assigned
Dec 17, 2021
Organization subpart
Yes
Parent organization
IA INVESTMENTS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Authorized official

Name
Iren Hovhannisyan
Title
Ceo
Phone
(800) 828-1847

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

19634 Ventura Blvd Ste 207
Tarzana, CA 91356-7139

Mailing address

19634 Ventura Blvd Ste 207
Tarzana, CA 91356-7139
Phone (800) 828-1847

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230606001858 CA Part A Provider - Home Health Agency 0345607388 Practice locations: Encino, CA

Home health agency certification: CCN 757604

Legal name
ELIT HOME HEALTH CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 27, 2024
Last certification
Feb 14, 2024
Organization structure
CorporationProprietary
Enrollment address
17000 Ventura Blvd
Ste 206
Encino, CA 91316-4184

Care Compare: Home health agency

Medicare Care Compare
Listed as
Elit Home Health Care, Inc.CCN 757604 · All quality measures
Overall star rating
3.5 of 5
Ownership
-
Certified
Feb 27, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

17000 Ventura Blvd
Ste 206
Encino, CA 91316
Phone (818) 616-1014

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
Iren Hovhannisyan Individual 5% Or Greater Indirect Ownership Interest Dec 6, 2021 100%
Corporate OfficerCeo/President Dec 6, 2021
Corporate DirectorCeo/President Dec 6, 2021
W-2 Managing EmployeeCeo/President Dec 6, 2021
Ia Investments, Inc Organization, Sherman Oaks, CA Corporation 5% Or Greater Direct Ownership Interest Aug 31, 2020 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": "1639699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1588324529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19634 VENTURA BLVD STE 207",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913567139",
            "telephone_number": "800-828-1847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19634 VENTURA BLVD STE 207",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913567139",
            "telephone_number": "800-828-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIT HOME HEALTH CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IA INVESTMENTS, INC.",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "HOVHANNISYAN",
        "authorized_official_first_name": "IREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-828-1847"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.