Provider Demographics
NPI:1679189088
Name:ELI HOME HEALTH, INC.
Entity Type:Organization
Organization Name:ELI HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMBARTOUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-456-4578
Mailing Address - Street 1:20812 VENTURA BLVD STE 215
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-2362
Mailing Address - Country:US
Mailing Address - Phone:818-456-4578
Mailing Address - Fax:818-600-2635
Practice Address - Street 1:20812 VENTURA BLVD STE 215
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-2362
Practice Address - Country:US
Practice Address - Phone:818-456-4578
Practice Address - Fax:818-600-2635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-21
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health