Provider Demographics
NPI:1619496080
Name:ELITE CARE HOME HEALTH SERVICES INC
Entity Type:Organization
Organization Name:ELITE CARE HOME HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AVEDIS
Authorized Official - Middle Name:
Authorized Official - Last Name:AVEDISSIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-536-7312
Mailing Address - Street 1:225 E BROADWAY STE B114
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-1008
Mailing Address - Country:US
Mailing Address - Phone:818-536-7312
Mailing Address - Fax:818-536-7483
Practice Address - Street 1:225 E.BROADWAY
Practice Address - Street 2:SUITE B114
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205
Practice Address - Country:US
Practice Address - Phone:818-536-7312
Practice Address - Fax:818-536-7483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health