Active NPI
Elite Support Care
- Home Health Agency
- Miami, FL
National Provider Identifier
1063686822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 0499593517345
- Legal business name
- ELITE SUPPORT CARE
- Practice address
- 10300 SW 72ND St Ste 182
Miami, FL 33173-3002 - Phone
- (786) 266-9057
- NPI assigned
- Apr 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leticia Sanchez
- Title
- Ceo
- Phone
- (786) 266-9057
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 0499593517345 | FL | Primary |
| Nursing Care Agency | 251J00000X | 0499593517345 | FL | |
| Respite Care | 385H00000X | 0499593517345 | FL |
Addresses
Primary practice location
10300 SW 72ND St Ste 182
Miami, FL 33173-3002
Mailing address
10180 SW 28TH St
Miami, FL 33165-2956
Phone (786) 266-9057
Other practice location 1
7915 NW 8th St Unit 3
Miami, FL 33126-2899
Phone (786) 972-9484
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 683629196 | Medicaid | FL | |
| 683629198 | Medicaid | FL | |
| 1067201 | Medicaid | FL | |
| 683629103 | Medicaid | FL | |
| 683629105 | Medicaid | FL | |
| 229699 | Medicaid | FL | |
| 683629104 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Elite Support Care Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Miami, FL
- NPI 1265579270
-
- Home Health Agency
- Miami, FL
- NPI 1952394090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629763200000",
"number": "1063686822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10180 SW 28TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331652956",
"telephone_number": "786-266-9057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 SW 72ND ST STE 182",
"city": "MIAMI",
"state": "FL",
"postal_code": "331733002",
"telephone_number": "786-266-9057"
}
],
"practiceLocations": [
{
"address_1": "7915 NW 8th St Unit 3",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331262899",
"country_code": "US",
"telephone_number": "786-972-9484",
"fax_number": "305-264-0136",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ELITE SUPPORT CARE",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-14",
"last_updated": "2021-08-24",
"certification_date": "2021-08-24",
"status": "A",
"authorized_official_last_name": "SANCHEZ",
"authorized_official_first_name": "LETICIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "786-266-9057"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "0499593517345",
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "FL",
"license": "0499593517345",
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "FL",
"license": "0499593517345",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "683629196",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "683629198",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1067201",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "683629103",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "683629105",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "229699",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "683629104",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.