Elite Manor - Kissimmee

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

12424 Issued in FL

Legal business name

ELITE MANOR - KISSIMMEE

Practice address

4034 Sunny Day Way
Kissimmee, FL 34744-9152

Phone

(646) 610-9621

Fax

(407) 286-6363

NPI assigned

Oct 16, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Sharda Sukhu-Gafoor

Title

Administrator

Phone

(646) 610-9621

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1043648728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4034 SUNNY DAY WAY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347449152",
            "telephone_number": "646-610-9621",
            "fax_number": "407-286-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4034 SUNNY DAY WAY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347449152",
            "telephone_number": "646-610-9621",
            "fax_number": "407-286-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MANOR - KISSIMMEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "SUKHU-GAFOOR",
        "authorized_official_first_name": "SHARDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "646-610-9621",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennell Elias, M.A.
• Mark Zachary Elias, DO
• Yennisse Elias
• Carmen Elicier
• Fedora Elipe, ARNP
• Elite Manor Kissimmee LLC
• Elite Med Family Care Inc
• Elite Medical Associates, LLC
• Elite Medical Equipment & Supplies, LLC
• Elite Spinecare LLC

• Assisted Living Facility in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.