Organization Active NPI

Elite Health Group

  • Home Health Agency
  • Irvine, CA
National Provider Identifier
1609220581
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ELITE HEALTH GROUP
Practice address
17752 Sky Park Cir
Suite 220
Irvine, CA 92614-6419
Phone
(888) 318-4536
NPI assigned
Apr 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Authorized official

Name
Mr. Gus Van Dender
Title
Coo
Phone
(888) 318-4536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

17752 Sky Park Cir
Suite 220
Irvine, CA 92614-6419

Mailing address

17752 Sky Park Cir
Suite 220
Irvine, CA 92614-6419
Phone (888) 318-4536

National Provider Directory

National Provider Directory

Locations

17752 Sky Park Cir
Ste 220
Irvine, CA 92614
Phone (888) 318-4536

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1609220581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17752 SKY PARK CIR",
            "address_2": "SUITE 220",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146419",
            "telephone_number": "888-318-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17752 SKY PARK CIR",
            "address_2": "SUITE 220",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146419",
            "telephone_number": "888-318-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "VAN DENDER",
        "authorized_official_first_name": "GUS",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "888-318-4536",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.