Organization Active NPI

Elite Care GH2 LLC

  • Mental Health Counselor
  • Fayetteville, NC
National Provider Identifier
1003747130
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ELITE CARE GH2 LLC
Practice address
6203 Lansford Dr
Fayetteville, NC 28314-2052
Phone
(910) 483-0324
NPI assigned
May 27, 2026
Organization subpart
Yes
Parent organization
ELITE CARE SERVICE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Authorized official

Name
James Frederick
Title
Ceo
Phone
(732) 674-5748

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

6203 Lansford Dr
Fayetteville, NC 28314-2052

Mailing address

PO Box 9525
Fayetteville, NC 28311-9088
Phone (732) 674-5748

National Provider Directory

National Provider Directory
Part of
Elite Care Service Inc

NPI Registry JSON

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

{
    "created_epoch": "1779840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1003747130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9525",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283119088",
            "telephone_number": "732-674-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6203 LANSFORD DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142052",
            "telephone_number": "910-483-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARE GH2 LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELITE CARE SERVICE INC",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-674-5748"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.