ATHENA HEALTH PROFESSIONAL
NPI 1255164604
Skilled Nursing Facility in Perris, CA

Active since August 21, 2024
4651 FORMOSA WAY, PERRIS, CA 92571(213) 840-7660 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 9, 2025, Aug 21, 2024 (2 updates tracked since 2024).

About Athena Health Professional NPPES

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

ATHENA HEALTH PROFESSIONAL (NPI 1255164604) is a healthcare organization registered as a skilled nursing facility in Perris, California and active in the NPI registry since August 2024. The organization lists Danna Lyn Santiago, Cfo, as its authorized official.

NPPES Registry Identity

NPI1255164604
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameATHENA HEALTH PROFESSIONAL
Location Address4651 FORMOSA WAYPerris, CA 92571-5119
Mailing Address5117 E Tango CirAnaheim, CA 92807-1206 · (213) 840-7660
Organization SubpartNo
Authorized OfficialDanna Lyn SantiagoCfo · (213) 840-7660
Enumeration DateAugust 21, 2024
Last NPPES UpdateJanuary 9, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2025
NPI 1255164604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
4651 FORMOSA WAY, Perris, CA 92571

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 Athena Health Professional's NPI number?

The NPI number for Athena Health Professional is 1255164604. It was assigned to this organization in the NPPES registry on August 21, 2024.

Where is Athena Health Professional located?

Athena Health Professional is located at 4651 Formosa Way, Perris, CA 92571. The listed phone number is (213) 840-7660.

What is Athena Health Professional's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Athena Health Professional was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.