Healthcare Provider Details

I. General information

NPI: 1619808128
Provider Name (Legal Business Name): ELITECARE HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

639 S GLENWOOD PL STE 201B
BURBANK CA
91506-2819
US

IV. Provider business mailing address

639 S GLENWOOD PL STE 201B
BURBANK CA
91506-2819
US

V. Phone/Fax

Practice location:
  • Phone: 747-223-7899
  • Fax: 747-204-2209
Mailing address:
  • Phone: 747-223-7899
  • Fax: 747-204-2209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: GURGEN KITURYAN
Title or Position: CEO
Credential:
Phone: 747-223-7899