Organization Active NPI

Elta Home Health Care, Inc

  • Home Health Agency
  • Canoga Park, CA
National Provider Identifier
1902415086
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ELTA HOME HEALTH CARE, INC
Practice address
20944 Sherman Way Suite 211
Canoga Park, CA 91303-3643
Phone
(818) 756-2015
NPI assigned
Jul 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Ms. Lan Cherry R Gellekanao
Title
Ceo
Phone
(818) 756-2015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

20944 Sherman Way Suite 211
Canoga Park, CA 91303-3643

Mailing address

20944 Sherman Way Suite 211
Canoga Park, CA 91303-3643
Phone (818) 756-2015

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210629000366 CA Part A Provider - Home Health Agency 6103227103 Practice locations: Van Nuys, CA

Home health agency certification: CCN 559602

Legal name
ELTA HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 24, 2021
Last certification
Sep 24, 2021
Organization structure
CorporationProprietary
Incorporated
Jun 4, 2020 in CA
Enrollment address
6454 Van Nuys Blvd
Ste 6
Van Nuys, CA 91401-1445

Care Compare: Home health agency

Medicare Care Compare
Listed as
Elta Home Health Care, IncCCN 559602 · All quality measures
Overall star rating
5 of 5
Ownership
-
Certified
Sep 24, 2021
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2313514Elta Home Health Care, Inc20944 Sherman Way Ste 110, Canoga Park, CA 91303Certificate of waiverOct 31, 2026

National Provider Directory

National Provider Directory

Locations

20944 Sherman Way
Ste 211
Canoga Park, CA 91303
Phone (818) 963-7578

6454 Van Nuys Blvd
Ste 6
Van Nuys, CA 91401
Phone (747) 877-2707

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.

NameRoleSinceShare
Ninel Nancy Ter-Andriasyants Individual 5% Or Greater Direct Ownership InterestCeo Jun 4, 2020 100%
Corporate OfficerCeo Jun 4, 2020 100%
Corporate DirectorCeo Jun 4, 2020 100%
W-2 Managing EmployeeCeo Jun 4, 2020 100%

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1902415086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20944 SHERMAN WAY SUITE 211",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033643",
            "telephone_number": "818-756-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20944 SHERMAN WAY SUITE 211",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033643",
            "telephone_number": "818-756-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELTA HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "GELLEKANAO",
        "authorized_official_first_name": "LAN CHERRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-756-2015",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

Verify at the official NPI Registry.