Organization Active NPI

Elliot Home Care

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1942923495
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ELLIOT HOME CARE
Practice address
416 N Glendale Ave Ste 204a
Glendale, CA 91206-3327
Phone
(818) 396-9598
Fax
(818) 474-4538
NPI assigned
Sep 20, 2022
Last updated
Sep 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Authorized official

Name
Zaruhi Housyan
Title
Ceo
Phone
(818) 396-9598

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

416 N Glendale Ave Ste 204a
Glendale, CA 91206-3327

Mailing address

416 N Glendale Ave Ste 204a
Glendale, CA 91206-3327
Phone (818) 396-9598

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241010002468 CA Part A Provider - Home Health Agency 9335671791 Practice locations: Glendale, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942923495. Details of each certification follow.

Home health agency certification: CCN 757942

Legal name
ELLIOT HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 24, 2025
Last certification
Mar 5, 2025
Organization structure
CorporationProprietary
Enrollment address
416 N Glendale Ave
Ste 212a
Glendale, CA 91206-3327

Care Compare: Home health agency

Medicare Care Compare
Listed as
Elliot Home CareCCN 757942 · All quality measures
Ownership
-
Certified
Mar 24, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

416 N Glendale Ave
Ste 204A
Glendale, CA 91206
Phone (818) 396-9598

416 N Glendale Ave
Ste 212A
Glendale, CA 91206
Phone (818) 396-9598

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
Zaruhi Housyan Individual 5% Or Greater Direct Ownership InterestCeo/Cfo/Dir/Sec/BMBR/Pres/Owner Sep 12, 2022 100%
Corporate OfficerCeosec/Cfo/BMBR Sep 12, 2022 100%
Corporate DirectorBMBR Sep 12, 2022 100%
W-2 Managing EmployeeCeo/Cfo/Sec/BMBR Sep 12, 2022 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1942923495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 N GLENDALE AVE STE 204A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912063327",
            "telephone_number": "818-396-9598",
            "fax_number": "818-474-4538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N GLENDALE AVE STE 204A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912063327",
            "telephone_number": "818-396-9598",
            "fax_number": "818-474-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOT HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "HOUSYAN",
        "authorized_official_first_name": "ZARUHI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-396-9598"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.