Elite Renewcare, LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

ELITE RENEWCARE, LLC

Practice address

4111E Rose Lake Dr # 4827
Charlotte, NC 28217-2858

Phone

(315) 489-5440

NPI assigned

Mar 31, 2023

Organization subpart

No

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

Authorized official

Name

Ana Roselia Santos-Burks, NP-BC

Title

Nurse Practitioner

Phone

(315) 489-5440

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1033814959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 DERBY LN",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283487556",
            "telephone_number": "315-489-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111E ROSE LAKE DR # 4827",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282172858",
            "telephone_number": "315-489-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE RENEWCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "SANTOS-BURKS",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "ROSELIA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "315-489-5440",
        "authorized_official_credential": "NP-BC"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Health Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.