Active NPI
Elta Home Health Care, Inc
- Home Health Agency
- Canoga Park, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Overall star rating
- Ownership
- -
- Certified
- Sep 24, 2021
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2313514 | Elta Home Health Care, Inc | Certificate of waiver | Oct 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Ninel Nancy Ter-Andriasyants | 5% Or Greater Direct Ownership Interest | Jun 4, 2020 | 100% |
| Corporate Officer | Jun 4, 2020 | 100% | |
| Corporate Director | Jun 4, 2020 | 100% | |
| W-2 Managing Employee | Jun 4, 2020 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- General Practice Physician
- Maywood, CA
- NPI 1104910629
Home health agency
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1952530800
Home health agency
-
- Internal Medicine Physician
- South Gate, CA
- NPI 1558523670
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.