Elite Care Home Health Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ELITE CARE HOME HEALTH SERVICES INC

Practice address

225 E.Broadway
Suite B114
Glendale, CA 91205

Phone

(818) 536-7312

Fax

(818) 536-7483

NPI assigned

Sep 16, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Avedis Avedissian

Title

Ceo

Phone

(818) 536-7312

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619496080. Details of each certification follow.

• CCN 559409 Home health agency · Active · Details

Home health agency certification: CCN 559409

Legal name

ELITE CARE HOME HEALTH SERVICES INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 31, 2021

Last certification

Jan 31, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

3440 Wilshire Blvd
Ste 1105
Los Angeles, CA 90010-2101

Listed as

Elite Care Home Health Services, IncCCN 559409 · All quality measures

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

Jan 31, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

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.

Affiliated clinicians 6

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

• John Daliva, DO

  • Addiction Medicine (Internal Medicine) Physician
  • Pomona, CA
  • NPI 1760836662

  Home health agency

  Care Compare affiliation
• Zay Yar Sett Htay, M. D , M.B.B. S

  • Hospitalist Physician
  • Pomona, CA
  • NPI 1811395965

  Home health agency

  Care Compare affiliation
• Swe Swe Htike, MD

  • Hospitalist Physician
  • Pomona, CA
  • NPI 1952700650

  Home health agency

  Care Compare affiliation
• Rodolfo Perez Jr., FNP

  • Family Nurse Practitioner
  • Montclair, CA
  • NPI 1134557648

  Home health agency

  Care Compare affiliation
• Mark Jervis Rodrigues, M.D.

  • Internal Medicine Physician
  • Orange, CA
  • NPI 1417977992

  Home health agency

  Care Compare affiliation
• Elaine Roh, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Pomona, CA
  • NPI 1033614722

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1505520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1619496080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E BROADWAY STE B114",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051008",
            "telephone_number": "818-536-7312",
            "fax_number": "818-536-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E.BROADWAY",
            "address_2": "SUITE B114",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91205",
            "telephone_number": "818-536-7312",
            "fax_number": "818-536-7483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARE HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "AVEDISSIAN",
        "authorized_official_first_name": "AVEDIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-536-7312",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilit Eliasyan, FNP
• Moris Elie, DC
• Teresa Eligio, RN, MSN, FNP
• Chrestin Elisha, DPM
• Elite Benefits Home Health, Inc.
• Elite Care Services, Inc.
• Elite Home Care (Envoy Health Care Inc.)
• Elite Home Health Inc
• Elite Surgical Clinic, Medical Corporation
• Elite Wound Care Specialists

• Home Health Agency in Glendale, CA
• Providers in Glendale, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.