Provider Demographics
NPI:1942923495
Name:ELLIOT HOME CARE
Entity Type:Organization
Organization Name:ELLIOT HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ZARUHI
Authorized Official - Middle Name:
Authorized Official - Last Name:HOUSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-396-9598
Mailing Address - Street 1:416 N GLENDALE AVE STE 204A
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91206-3327
Mailing Address - Country:US
Mailing Address - Phone:818-396-9598
Mailing Address - Fax:818-474-4538
Practice Address - Street 1:416 N GLENDALE AVE STE 204A
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-3327
Practice Address - Country:US
Practice Address - Phone:818-396-9598
Practice Address - Fax:818-474-4538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-20
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health