NPIMap

Organization Active NPI

Elitecare Center, LLC

  • Chiropractor
  • Decatur, IL
National Provider Identifier
1053616656
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
344604179 Issued in IL
Legal business name
ELITECARE CENTER, LLC
Practice address
2870 N Main St
Decatur, IL 62526-3234
Phone
(217) 877-8992
Fax
(217) 877-8978
NPI assigned
Jan 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Authorized official

Name
Mrs. Robin Renee Niehaus
Title
Executor of Estate
Phone
(217) 877-8992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 344604179 IL Primary

Addresses

Primary practice location

2870 N Main St
Decatur, IL 62526-3234

Mailing address

2870 N Main St
Decatur, IL 62526-3234
Phone (217) 877-8992

National Provider Directory

National Provider Directory
Tax ID family
Elitecare Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1053616656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 N MAIN ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625263234",
            "telephone_number": "217-877-8992",
            "fax_number": "217-877-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 N MAIN ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625263234",
            "telephone_number": "217-877-8992",
            "fax_number": "217-877-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITECARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "NIEHAUS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "EXECUTOR OF ESTATE",
        "authorized_official_telephone_number": "217-877-8992",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "344604179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.