Adastra Health Care, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

550003791 Issued in CA

Legal business name

ADASTRA HEALTH CARE, INC

Practice address

20453 Elkwood St.
Winnetka, CA 91306-2233

Phone

(818) 993-1440

Fax

(818) 993-1449

NPI assigned

Apr 18, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Susanna Arakelyan

Title

Ceo, President

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

  • Skilled Nursing Facility
  • Winnetka, CA
  • NPI 1306255682
  NPD tax ID

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1780118554",
    "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, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "ARAKELYAN",
        "authorized_official_first_name": "SUSANNA",
        "authorized_official_title_or_position": "CEO, PRESIDENT",
        "authorized_official_telephone_number": "818-993-1440",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "550003791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adastra Health Care
• Mostafa Ahady, OD
• Peter Keywon Ahn, NURSE PRACTITIONER
• Arash Akhbari, RPH
• Marine Alexanian, NP
• Michael Angelo Alsol, APRN, FNP-C

• 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 Feb 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.