Active NPI
Eldorado Health
- Home Health Agency
- Van Nuys, CA
National Provider Identifier
1699339747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Incorporated
- Mar 4, 2019 in CA
- Enrollment address
- 14553 Delano St
Ste 318
Van Nuys, CA 91411-2897
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Eldorado Health
- Overall star rating
- Ownership
- Proprietary
- Certified
- Oct 8, 2020
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Asmik Melkonyan | 5% Or Greater Direct Ownership Interest | Mar 4, 2019 | 100% |
| Corporate Officer | Mar 4, 2019 | 100% | |
| Corporate Director | Mar 4, 2019 | 100% | |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.