Provider Demographics
NPI:1689306474
Name:ELEVATING HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:ELEVATING HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GAGIK
Authorized Official - Middle Name:
Authorized Official - Last Name:GALENDARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-249-8830
Mailing Address - Street 1:16200 VENTURA BLVD STE 304
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-4926
Mailing Address - Country:US
Mailing Address - Phone:800-249-8830
Mailing Address - Fax:800-249-8830
Practice Address - Street 1:16200 VENTURA BLVD STE 304
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-4926
Practice Address - Country:US
Practice Address - Phone:800-249-8830
Practice Address - Fax:800-249-8830
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CRESTLINE SUMMIT INVESTMENTS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-06-29
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health