Healthcare Provider Details

I. General information

NPI: 1558880773
Provider Name (Legal Business Name): ELLA HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2017
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1809 VERDUGO BLVD
GLENDALE CA
91208-1402
US

IV. Provider business mailing address

1809 VERDUGO BLVD
GLENDALE CA
91208-1402
US

V. Phone/Fax

Practice location:
  • Phone: 626-658-8866
  • Fax: 626-437-6951
Mailing address:
  • Phone: 626-658-8866
  • Fax: 626-437-6951

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 BAGHDASARYAN
Title or Position: CEO
Credential:
Phone: 626-658-8866