Crestline Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CRESTLINE HOME HEALTH, INC.

Practice address

600 N Mountain Ave Ste D106
Upland, CA 91786-4359

Phone

(909) 453-3287

Fax

(909) 453-3213

NPI assigned

Aug 11, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ruben Sukiasyan

Title

Ceo

Phone

(909) 453-3287

Specialties & licenses 1

Addresses

Other names 1

• Athena Home Health Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1194240002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N MOUNTAIN AVE STE D106",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864359",
            "telephone_number": "909-453-3287",
            "fax_number": "909-453-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N MOUNTAIN AVE STE D106",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864359",
            "telephone_number": "909-453-3287",
            "fax_number": "909-453-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTLINE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-11",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "SUKIASYAN",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-453-3287"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Athena Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather A Crane, MD
• Blake Eldon Crawford
• Kay Marie Crawford, NP
• Michael T. Creagan, MD
• Crescent Valley Hospice & Palliative Care, Inc.
• Michele Crosmer, RD
• Lavonne Crowther
• Karina Cruz
• CT Hung MD Inc.
• Christine Irene Cueva, MSW

• Home Health Agency in Upland, CA
• Providers in Upland, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.