Organization Active NPI

Eldorado Health

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1699339747
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ELDORADO HEALTH
Practice address
14553 Delano St Ste 318
Van Nuys, CA 91411-2897
Phone
(818) 616-9460
Fax
(818) 616-9456
NPI assigned
Apr 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Authorized official

Name
Asmik Melkonyan
Title
Ceo
Phone
(818) 616-9460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14553 Delano St Ste 318
Van Nuys, CA 91411-2897

Mailing address

14553 Delano St Ste 318
Van Nuys, CA 91411-2897
Phone (818) 616-9460

Other practice location 1

1456 E Washington Blvd
Pasadena, CA 91104
Phone (818) 616-9460

Other names 1

  • eldorado health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190810000015 CA Part A Provider - Home Health Agency 5496082679 Practice locations: Van Nuys, CA

Home health agency certification: CCN 559345

Legal name
ELDORADO HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 8, 2020
Last certification
Oct 8, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 4, 2019 in CA
Enrollment address
14553 Delano St
Ste 318
Van Nuys, CA 91411-2897
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Eldorado HealthCCN 559345
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Oct 8, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

1456 E Washington Blvd
Pasadena, CA 91104
Phone (818) 616-9460

14553 Delano St
Ste 318
Van Nuys, CA 91411
Phone (818) 616-9460

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Asmik Melkonyan Individual 5% Or Greater Direct Ownership Interest Mar 4, 2019 100%
Corporate OfficerCeo/Secretary/Cfo Mar 4, 2019 100%
Corporate DirectorBoard Member Mar 4, 2019 100%
W-2 Managing EmployeeCeo/Secretary/Cfo/Board Member Mar 4, 2019 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": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1699339747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14553 DELANO ST STE 318",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112897",
            "telephone_number": "818-616-9460",
            "fax_number": "818-616-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14553 DELANO ST STE 318",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112897",
            "telephone_number": "818-616-9460",
            "fax_number": "818-616-9456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1456 E Washington Blvd",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "91104",
            "country_code": "US",
            "telephone_number": "818-616-9460",
            "fax_number": "818-616-9456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELDORADO HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "MELKONYAN",
        "authorized_official_first_name": "ASMIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-616-9460"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "eldorado health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "eldorado health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.