Active NPI
Elite Healthcare, LLC
- Primary Care Clinic/Center
- Kingston, TN
National Provider Identifier
1023665403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- ELITE HEALTHCARE, LLC
- Practice address
- 117 N 3Rd St
Kingston, TN 37763-2842 - Phone
- (865) 224-6513
- Fax
- (865) 245-4546
- NPI assigned
- Aug 21, 2019
- 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
- Michael Anthony Lapaglia Jr., MD
- Title
- Medical Director
- Phone
- (865) 224-6513
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
117 N 3Rd St
Kingston, TN 37763-2842
Mailing address
117 N 3Rd St
Kingston, TN 37763-2842
Phone (865) 224-6513
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3000348 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
117 N 3rd St
Kingston, TN 37763
Phone (865) 224-6513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1566345600000",
"number": "1023665403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 N 3RD ST",
"city": "KINGSTON",
"state": "TN",
"postal_code": "377632842",
"telephone_number": "865-224-6513",
"fax_number": "865-245-4546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 N 3RD ST",
"city": "KINGSTON",
"state": "TN",
"postal_code": "377632842",
"telephone_number": "865-224-6513",
"fax_number": "865-245-4546"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-21",
"last_updated": "2019-08-21",
"status": "A",
"authorized_official_last_name": "LAPAGLIA",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "865-224-6513",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3000348",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.