Organization Active NPI

Elite Health Providers

  • Skilled Nursing Facility
  • Moreno Valley, CA
National Provider Identifier
1124456199
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Apr 13, 2020

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.