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CRESTNIK HOME HEALTH INC
NPI 1285370809
Home Health in San Gabriel, CA

Active since May 06, 2022CLIA 05D2300166 · Waiver
642 DEWEY AVE STE B, SAN GABRIEL, CA 91776(818) 482-8216 Get Directions Write a Review

NPPES record last updated: May 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crestnik Home Health Inc NPPES

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

CRESTNIK HOME HEALTH INC (NPI 1285370809) is a healthcare organization registered as a home health in San Gabriel, California and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through March 4, 2028 and lists Ahmad Hosseinkhani, President, as its authorized official.

NPPES Registry Identity

NPI1285370809
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameCRESTNIK HOME HEALTH INC
Location Address642 DEWEY AVE STE BSan Gabriel, CA 91776-6512
Mailing Address1730 Grandview AveGlendale, CA 91201-1263 · (818) 482-8216
Phone(818) 482-8216
Organization SubpartNo
Authorized OfficialAhmad HosseinkhaniPresident · (818) 482-8216
Enumeration DateMay 6, 2022
NPPES CertifiedMay 6, 2022
✔ NPI 1285370809 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.
642 DEWEY AVE STE B, San Gabriel, CA 91776
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2300166

Crestnik Home Health Inc · San Gabriel, CA
Active · expires Mar 4, 2028
CLIA Number05D2300166
Laboratory TypeHome Health Agency
Certificate Effective DateMarch 5, 2026
Certificate Expiration DateMarch 4, 2028
Laboratory DirectorJohn H. Rastegar
Laboratory Phone(818) 482-8216
Laboratory LocationCrestnik Home Health Inc642 Dewey Ave Suite B, San Gabriel, CA 91776
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Crestnik Home Health Inc's NPI number?

The NPI number for Crestnik Home Health Inc is 1285370809. It was assigned to this organization in the NPPES registry on May 6, 2022.

Where is Crestnik Home Health Inc located?

Crestnik Home Health Inc is located at 642 Dewey Ave Ste B, San Gabriel, CA 91776. The listed phone number is (818) 482-8216.

What is Crestnik Home Health Inc's specialty?

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

Does Crestnik Home Health Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2300166) is associated with this NPI, valid through March 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Crestnik Home Health Inc was last updated on May 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.