Active NPI
Elite Home Care
- In Home Supportive Care Agency
- Spartanburg, SC
National Provider Identifier
1003294851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- IHCP-0030
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EY1008 | Other | SC | GREENWOOD |
| EX1348 | Other | SC | LEGACY |
| EN1788 | Other | SC | GREER |
| EX1828 | Other | SC | LAURENS |
| EY1000 | Other | SC | LIBERTY |
National Provider Directory
National Provider Directory- Tax ID family
- Elite Day Center of Spartanburg
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Elite Day Center of Spartanburg
- Adult Day Care Clinic/Center
- Spartanburg, SC
- NPI 1346691102
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.