Organization Active NPI

Elite Healthcare, LLC

  • Primary Care Clinic/Center
  • Kingston, TN
National Provider Identifier
1023665403
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on Aug 21, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3000348MedicaidTN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.