Healthcare Provider Details

I. General information

NPI: 1043151830
Provider Name (Legal Business Name): ELITE BENEFITS HOME HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 W LEXINGTON DR STE L400B
GLENDALE CA
91203-3520
US

IV. Provider business mailing address

121 W LEXINGTON DR STE L400B
GLENDALE CA
91203-3520
US

V. Phone/Fax

Practice location:
  • Phone: 818-480-4805
  • Fax: 818-480-6595
Mailing address:
  • Phone: 818-480-4805
  • Fax: 818-480-6595

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: DIANA TER-GRIGORYAN
Title or Position: CEO/CFO/SECRETARY
Credential:
Phone: 818-480-4805