Organization Active NPI

Eli Home Health, Inc.

  • Home Health Agency
  • Woodland Hills, CA
National Provider Identifier
1679189088
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ELI HOME HEALTH, INC.
Practice address
20812 Ventura Blvd Ste 215
Woodland Hills, CA 91364-2362
Phone
(818) 456-4578
Fax
(818) 600-2635
NPI assigned
Sep 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Artin Hambartoun
Title
Ceo
Phone
(818) 456-4578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

20812 Ventura Blvd Ste 215
Woodland Hills, CA 91364-2362

Mailing address

20812 Ventura Blvd Ste 215
Woodland Hills, CA 91364-2362
Phone (818) 456-4578

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220510001977 CA Part A Provider - Home Health Agency 8729473632 Practice locations: Woodland Hills, CA

Home health agency certification: CCN 757186

Legal name
ELI HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 10, 2023
Last certification
Jan 12, 2023
Organization structure
CorporationProprietary
Incorporated
Jul 17, 2020 in CA
Enrollment address
20812 Ventura Blvd
Ste 215
Woodland Hills, CA 91364-2362

Care Compare: Home health agency

Medicare Care Compare
Listed as
Eli Home Health, IncCCN 757186
Overall star rating
4 of 5
Ownership
-
Certified
Feb 10, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

20944 Sherman Way
Ste 206A
Canoga Park, CA 91303
Phone (818) 456-4578

20812 Ventura Blvd
Ste 215
Woodland Hills, CA 91364
Phone (818) 456-4578

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
Artin Hambartoun Individual 5% Or Greater Direct Ownership Interest Jul 17, 2020 50%
Corporate Officer Jul 17, 2020
Corporate Director Jul 17, 2020
Operational/Managerial Control Jul 17, 2020
Negar Azaran Individual 5% Or Greater Direct Ownership Interest Jul 17, 2020 50%
Corporate Officer Jul 17, 2020
Corporate Director Jul 17, 2020
Operational/Managerial Control Jul 17, 2020

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": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1679189088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20812 VENTURA BLVD STE 215",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642362",
            "telephone_number": "818-456-4578",
            "fax_number": "818-600-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20812 VENTURA BLVD STE 215",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642362",
            "telephone_number": "818-456-4578",
            "fax_number": "818-600-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELI HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "HAMBARTOUN",
        "authorized_official_first_name": "ARTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-456-4578"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.