Organization Active NPI

Elite Supportive Living Services

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1003488891
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ELITE SUPPORTIVE LIVING SERVICES
Practice address
954 W North Bend Rd Ste 304B
Cincinnati, OH 45224-2250
Phone
(513) 607-0384
NPI assigned
Jul 12, 2021
Last updated
Jul 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Authorized official

Name
Ashley Duke, LISWNPI 1487317038
Title
Ceo
Phone
(513) 370-9526

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

954 W North Bend Rd Ste 304B
Cincinnati, OH 45224-2250

Mailing address

2432 Buddleia CT
Cincinnati, OH 45239-6880
Phone (513) 370-9526

National Provider Directory

National Provider Directory

Locations

954 W North Bend Rd
Ste 304B
Cincinnati, OH 45224
Phone (513) 237-8390

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1003488891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2432 BUDDLEIA CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452396880",
            "telephone_number": "513-370-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 W NORTH BEND RD STE 304B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452242250",
            "telephone_number": "513-607-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SUPPORTIVE LIVING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "DUKE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-370-9526",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.