Active NPI
Elite Health Providers
- Skilled Nursing Facility
- Moreno Valley, CA
National Provider Identifier
1124456199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ELITE HEALTH PROVIDERS
- Practice address
- 27926 Rockwood Ave
Moreno Valley, CA 92555-5729 - Phone
- (951) 363-8518
- Fax
- (951) 363-8513
- NPI assigned
- Oct 29, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Syuzanna Mnatsakanyan
- Title
- Ceo
- Phone
- (818) 439-0711
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
27926 Rockwood Ave
Moreno Valley, CA 92555-5729
Mailing address
27926 Rockwood Ave
Moreno Valley, CA 92555-5729
Phone (951) 363-8518
Other names 1
- ELITE HEALTH PROVIDERS LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586736000000",
"number": "1124456199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27926 ROCKWOOD AVE",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925555729",
"telephone_number": "951-363-8518",
"fax_number": "951-363-8513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27926 ROCKWOOD AVE",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925555729",
"telephone_number": "951-363-8518",
"fax_number": "951-363-8513"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE HEALTH PROVIDERS",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-29",
"last_updated": "2020-04-13",
"certification_date": "2020-04-13",
"status": "A",
"authorized_official_last_name": "MNATSAKANYAN",
"authorized_official_first_name": "SYUZANNA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-439-0711"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ELITE HEALTH PROVIDERS LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.