NPIMap

Organization Active NPI

Elite Care, Inc.

Doing business as Elite Care at Home

  • Home Health Agency
  • Grand Junction, CO
National Provider Identifier
1053657148
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
04L583 Issued in CO
Legal business name
ELITE CARE, INC.
Doing business as
Elite Care at Home
Practice address
715 Horizon Dr Ste 390
Grand Junction, CO 81506-8700
Phone
(970) 208-8359
Fax
(970) 208-8360
NPI assigned
Dec 18, 2012
Last updated
Oct 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Sarah Andrews, RN
Title
Owner and Administrator
Phone
(970) 208-8359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 04L583 CO Primary

Addresses

Primary practice location

715 Horizon Dr Ste 390
Grand Junction, CO 81506-8700

Mailing address

715 Horizon Dr Ste 390
Grand Junction, CO 81506-8700
Phone (970) 208-8359

Other names 1

  • Elite Care at Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130218000372 CO Part A Provider - Home Health Agency 9537313713 Practice locations: Grand Junction, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053657148. Details of each certification follow.

Home health agency certification: CCN 067511

Legal name
ELITE CARE INC
Doing business as
ELITE CARE AT HOME
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 2013
Last certification
May 9, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 20, 2012 in CO
Enrollment address
2829 North Ave 102
Grand Junction, CO 81501-4953

Care Compare: Home health agency

Medicare Care Compare
Listed as
Elite Care at HomeCCN 067511 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Jul 1, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

715 Horizon Dr
Ste 390
Grand Junction, CO 81506
Phone (970) 208-8359

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Dustin J Andrews Individual 5% Or Greater Security Interest Jan 4, 2013 10%
Sarah Andrews Individual 5% Or Greater Direct Ownership InterestOwner Jan 4, 2013 100%
Corporate OfficerPresident/Administrator Jan 4, 2013
Corporate DirectorPresident of Board Jan 4, 2013
Operational/Managerial ControlDirector of Clinical Services Jan 4, 2013

Practitioners & affiliated clinicians

Affiliated clinicians 13

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1053657148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 HORIZON DR STE 390",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068700",
            "telephone_number": "970-208-8359",
            "fax_number": "970-208-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 HORIZON DR STE 390",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068700",
            "telephone_number": "970-208-8359",
            "fax_number": "970-208-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER AND ADMINISTRATOR",
        "authorized_official_telephone_number": "970-208-8359",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "04L583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Care at Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elite Care at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.