Omni Wellness Retreat

LBN: Elite Care, Inc.
Omni Wellness Retreat is an health care organization with primary practice located at 25391 Nellie Gail Rd , Laguna Hills CA 92653-5744. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Elite Care, Inc. can be contacted via phone (888) 511-0607, or through Nematbakhsh, Tahamtan via phone (888) 511-0607.

Contact Information

Primary practice address
25391 Nellie Gail Rd Laguna Hills CA 92653-5744
Phone: (888) 511-0607
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nematbakhsh, Tahamtan JD
Phone: (888) 511-0607

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1689224826
LBN Legal business name Elite Care, Inc.
DBA Doing business as Omni Wellness Retreat
Authorized official Nematbakhsh, Tahamtan JD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2019
Last updated Jul 21st, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689224826 NPPES
California Other 300626GP DHCS

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