Elite Comfort Home Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ELITE COMFORT HOME HEALTH CARE

Practice address

21405 Devonshire St Ste 221
Chatsworth, CA 91311-2941

Phone

(747) 444-1303

Fax

(747) 444-1281

NPI assigned

Apr 25, 2021

Organization subpart

No

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

Authorized official

Name

Syuzanna PetrosyanNPI 1326768573

Title

Ceo

Phone

(747) 444-1303

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757402

Legal name

ELITE COMFORT HOME HEALTH CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 8, 2023

Last certification

Sep 1, 2023

Organization structure

CorporationProprietary

Incorporated

Jan 22, 2021 in CA

Enrollment address

21405 Devonshire St
Ste 221
Chatsworth, CA 91311-2941

Listed as

Elite Comfort Home Health CareCCN 757402

Overall star rating

1 of 5

Ownership

-

Certified

Sep 8, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Syuzanna Petrosyan, LVN

  • Licensed Vocational Nurse
  • Chatsworth, CA
  • NPI 1326768573
  NPD Authorized official

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

{
    "created_epoch": "1619308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619308800000",
    "number": "1790367191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21405 DEVONSHIRE ST STE 221",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112941",
            "telephone_number": "747-444-1303",
            "fax_number": "747-444-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21405 DEVONSHIRE ST STE 221",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112941",
            "telephone_number": "747-444-1303",
            "fax_number": "747-444-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE COMFORT HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-25",
        "last_updated": "2021-04-25",
        "certification_date": "2021-04-25",
        "status": "A",
        "authorized_official_last_name": "PETROSYAN",
        "authorized_official_first_name": "SYUZANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-444-1303"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Chatsworth, CA
• Providers in Chatsworth, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2021; 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.

Verify at the official NPI Registry.