Organization Active NPI

Elation Home Health Inc.

  • Home Health Agency
  • Arcadia, CA
National Provider Identifier
1821579681
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ELATION HOME HEALTH INC.
Practice address
333 N Santa Anita Ave Ste 15
Arcadia, CA 91006-2812
Phone
(626) 340-7259
NPI assigned
Aug 28, 2018
Last updated
Jun 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Authorized official

Name
Siranush Rubyan
Title
Ceo
Phone
(626) 340-7259

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CA Primary

Addresses

Primary practice location

333 N Santa Anita Ave Ste 15
Arcadia, CA 91006-2812

Mailing address

333 N Santa Anita Ave Ste 15
Arcadia, CA 91006-2812
Phone (626) 340-7259

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190513001370 CA Part A Provider - Home Health Agency 5890038905 Practice locations: Arcadia, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821579681. Details of each certification follow.

Home health agency certification: CCN 559022

Legal name
ELATION HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 10, 2019
Last certification
Jul 10, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
333 N Santa Anita Ave
Unit 15
Arcadia, CA 91006-2812

Care Compare: Home health agency

Medicare Care Compare
Listed as
Elation Home Health IncCCN 559022 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Jul 10, 2019
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

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
Siranush Rubyan Individual 5% Or Greater Direct Ownership InterestCeo Aug 10, 2018 100%
Corporate OfficerCeo Aug 10, 2018 100%
Corporate DirectorCeo Aug 10, 2018 100%
W-2 Managing EmployeeCeo Aug 10, 2018 100%
Operational/Managerial ControlCeo Aug 10, 2018 100%
Anna Fabella Individual W-2 Managing EmployeeAd;DPCS Apr 14, 2026

Practitioners & affiliated clinicians

Affiliated clinicians 9

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": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1821579681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SANTA ANITA AVE STE 15",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910062812",
            "telephone_number": "626-340-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N SANTA ANITA AVE STE 15",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910062812",
            "telephone_number": "626-340-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELATION HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "RUBYAN",
        "authorized_official_first_name": "SIRANUSH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-340-7259"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.