Organization Active NPI

Elite Home Care

  • In Home Supportive Care Agency
  • Spartanburg, SC
National Provider Identifier
1003294851
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
IHCP-0030 Issued in SC
Legal business name
ELITE HOME CARE
Practice address
2000 Bud Arthur Bridge Rd
Spartanburg, SC 29307-4417
Phone
(864) 580-6477
NPI assigned
May 13, 2015
Last updated
May 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Authorized official

Name
William Andrew Martin
Title
Owner
Phone
(864) 869-8730

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X NU
In Home Supportive Care Agency 253Z00000X IHCP-0030 SC Primary

Addresses

Primary practice location

2000 Bud Arthur Bridge Rd
Spartanburg, SC 29307-4417

Mailing address

PO Box 1181
Spartanburg, SC 29304-1181
Phone (864) 869-8739

Other practice location 1

516 E Main St
Spartanburg, SC 29302-1927
Phone (864) 869-8730

Other identifiers 5

IdentifierTypeStateIssuer
EY1008OtherSCGREENWOOD
EX1348OtherSCLEGACY
EN1788OtherSCGREER
EX1828OtherSCLAURENS
EY1000OtherSCLIBERTY

National Provider Directory

National Provider Directory
Tax ID family
Elite Day Center of Spartanburg2 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.

Locations

516 E Main St
Spartanburg, SC 29302
Phone (864) 591-2004

NPI Registry JSON

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1003294851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1181",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293041181",
            "telephone_number": "864-869-8739",
            "fax_number": "704-919-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 BUD ARTHUR BRIDGE RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293074417",
            "telephone_number": "864-580-6477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "516 E Main St",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293021927",
            "country_code": "US",
            "telephone_number": "864-869-8730",
            "fax_number": "704-919-5011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-869-8730"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": "IHCP-0030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREENWOOD",
            "identifier": "EY1008",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEGACY",
            "identifier": "EX1348",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREER",
            "identifier": "EN1788",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAURENS",
            "identifier": "EX1828",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIBERTY",
            "identifier": "EY1000",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.