ATHENA HOME HEALTH
NPI 1194240002
Home Health in Upland, CA

Q: What is Crestline Home Health, Inc.'s NPI number?

The NPI number for Crestline Home Health, Inc. is 1194240002. It was assigned to this organization in the NPPES registry on August 11, 2017. The provider is doing business as Athena Home Health.

Q: What is Crestline Home Health, Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since August 11, 2017

600 N MOUNTAIN AVE STE D106, UPLAND, CA 91786(909) 453-3287(909) 453-3213 Get Directions Write a Review

NPPES record last updated: October 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 1, 2019, Aug 11, 2017 (2 updates tracked since 2017).

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About Athena Home Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ATHENA HOME HEALTH (NPI 1194240002) is a healthcare organization registered as a home health in Upland, California and active in the NPI registry since August 2017. The organization lists Ruben Sukiasyan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194240002

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameCRESTLINE HOME HEALTH, INC.

Location Address600 N MOUNTAIN AVE STE D106Upland, CA 91786-4359

Mailing Address600 N Mountain Ave Ste D106Upland, CA 91786-4359 · (909) 453-3287 · Fax (909) 453-3213

Phone(909) 453-3287

Fax(909) 453-3213

Organization SubpartNo

Authorized OfficialRuben SukiasyanCeo · (909) 453-3287

Enumeration DateAugust 11, 2017

Last NPPES UpdateOctober 1, 20192 updates tracked since enumeration

✔ NPI 1194240002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

600 N MOUNTAIN AVE STE D106, Upland, CA 91786

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Other Names 1

Doing Business AsAthena Home Health

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CORNERSTONE CAREGIVING WEST LLC

In Home Supportive Care

600 N MOUNTAIN AVE STE D106
UPLAND, CA 91786

San Bernardino County (909) 404-8832

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crestline Home Health, Inc.'s NPI number?

The NPI number for Crestline Home Health, Inc. is 1194240002. It was assigned to this organization in the NPPES registry on August 11, 2017. The provider is doing business as Athena Home Health.

Where is Crestline Home Health, Inc. located?

Crestline Home Health, Inc. is located at 600 N Mountain Ave Ste D106, Upland, CA 91786. The listed phone number is (909) 453-3287.

What is Crestline Home Health, Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Crestline Home Health, Inc. was last updated on October 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.