Active NPI
Elliot Home Care
- Home Health Agency
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2022
- 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
- Zaruhi Housyan
- Title
- Ceo
- Phone
- (818) 396-9598
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Enrollment address
- 416 N Glendale Ave
Ste 212a
Glendale, CA 91206-3327
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Elliot Home Care
- Ownership
- -
- Certified
- Mar 24, 2025
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Zaruhi Housyan | 5% Or Greater Direct Ownership Interest | Sep 12, 2022 | 100% |
| Corporate Officer | Sep 12, 2022 | 100% | |
| Corporate Director | Sep 12, 2022 | 100% | |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.