Elite Group Health Services LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ELITE GROUP HEALTH SERVICES LLC

Practice address

950 N Main St
Randolph, MA 02368-3064

Phone

(413) 543-6820

NPI assigned

Jun 20, 2023

Organization subpart

No

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

Authorized official

Name

Maboh Achiri, NP

Title

Owner

Phone

(413) 543-6820

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Priscilla Wambui, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hanover, MA
  • NPI 1013639228
  NPD

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1053096677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 FIRST ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023016419",
            "telephone_number": "413-543-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N MAIN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023683064",
            "telephone_number": "413-543-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE GROUP HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "ACHIRI",
        "authorized_official_first_name": "MABOH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-543-6820",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ijeoma Angeluster Ejiogu, APRN, PMHNP-BC
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• Nathalie El-Saieh
• Elisa Home Health Care LLC
• Tiffany Elliot, RBT
• Annemarie Elmore
• Jaleel Eloi, LPN
• Baback Emami, DMD
• Emmanuel Integrative Psychiatry & Wellness

• Family Nurse Practitioner in Randolph, MA
• Providers in Randolph, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.