Organization Active NPI

Elevate Home Health, Inc.

  • Home Health Agency
  • Panorama City, CA
National Provider Identifier
1760076723
Registry record updated Feb 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ELEVATE HOME HEALTH, INC.
Practice address
14547 Titus St Ste 110a
Panorama City, CA 91402-4919
Phone
(424) 222-7782
NPI assigned
Feb 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2021

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

Authorized official

Name
Harutyun Karapetyan
Title
Ceo
Phone
(424) 222-7782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14547 Titus St Ste 110a
Panorama City, CA 91402-4919

Mailing address

14547 Titus St Ste 110a
Panorama City, CA 91402-4919

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210720000013 CA Part A Provider - Home Health Agency 4284037938 Practice locations: Panorama City, CA

Home health agency certification: CCN 753116

Legal name
ELEVATE HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 3, 2022
Last certification
Jun 2, 2022
Organization structure
CorporationProprietary
Incorporated
Nov 25, 2020 in CA
Enrollment address
14547 Titus St
Ste 110a
Panorama City, CA 91402-4919

Care Compare: Home health agency

Medicare Care Compare
Listed as
Elevate Home Health, Inc.CCN 753116 · All quality measures
Overall star rating
3 of 5
Ownership
-
Certified
Jun 3, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

14547 Titus St
Ste 110A
Panorama City, CA 91402
Phone (424) 222-7782

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
John H Gevorgyan Individual 5% Or Greater Indirect Ownership Interest Oct 6, 2023
Corporate OfficerCeo/Cfo/Sec Oct 6, 2023
Corporate DirectorCeo/Cfo/Sec Oct 6, 2023
W-2 Managing EmployeeCeo/Cfo/Sec Oct 6, 2023
Elevate Medical Management Organization, Panorama City, CA Created for acquisition, Corporation 5% Or Greater Direct Ownership Interest Nov 25, 2020 100%

NPI Registry JSON

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

{
    "created_epoch": "1613865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613865600000",
    "number": "1760076723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14547 TITUS ST STE 110A",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14547 TITUS ST STE 110A",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024919",
            "telephone_number": "424-222-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-21",
        "last_updated": "2021-02-21",
        "certification_date": "2021-02-21",
        "status": "A",
        "authorized_official_last_name": "KARAPETYAN",
        "authorized_official_first_name": "HARUTYUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-222-7782"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

Verify at the official NPI Registry.