Active NPI
Elite Home Health & Hospice Services
- Community Based Hospice Care Agency
- San Fernando, CA
National Provider Identifier
1700468055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- ELITE HOME HEALTH & HOSPICE SERVICES
- Practice address
- 11487 San Fernando Rd
San Fernando, CA 91340-3406 - Phone
- (818) 436-9088
- Fax
- (818) 477-2037
- NPI assigned
- Apr 26, 2021
- 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
- Estela Avetyan, ESQ.
- Title
- Director
- Phone
- (818) 436-9088
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
11487 San Fernando Rd
San Fernando, CA 91340-3406
Mailing address
9828 Claire Ave
Northridge, CA 91324-1714
National Provider Directory
National Provider DirectoryLocations
11487 San Fernando Rd
San Fernando, CA 91340
Phone (747) 258-9293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619395200000",
"number": "1700468055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9828 CLAIRE AVE",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913241714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11487 SAN FERNANDO RD",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913403406",
"telephone_number": "818-436-9088",
"fax_number": "818-477-2037"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE HOME HEALTH & HOSPICE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-26",
"last_updated": "2021-04-26",
"certification_date": "2020-08-27",
"status": "A",
"authorized_official_last_name": "AVETYAN",
"authorized_official_first_name": "ESTELA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "818-436-9088",
"authorized_official_credential": "ESQ."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Fernando, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.