Adastra Health Care

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ADASTRA HEALTH CARE

Practice address

20453 Elkwood St
Winnetka, CA 91306-2233

Phone

(818) 993-1440

Fax

(818) 993-1449

NPI assigned

Aug 12, 2014

Organization subpart

No

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

Authorized official

Name

Anush Movsesian

Title

Chief Executive Officer

Phone

(818) 993-1440

Specialties & licenses 1

Addresses

Tax ID family

Adastra Health Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Adastra Health Care, Inc

  • Skilled Nursing Facility
  • Winnetka, CA
  • NPI 1780118554
  NPD tax ID

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1306255682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20453 ELKWOOD ST",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913062233",
            "telephone_number": "818-993-1440",
            "fax_number": "818-993-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20453 ELKWOOD ST",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913062233",
            "telephone_number": "818-993-1440",
            "fax_number": "818-993-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADASTRA HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "MOVSESIAN",
        "authorized_official_first_name": "ANUSH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "818-993-1440"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Winnetka, CA
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.