Organization Active NPI

Elite Support Care

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1063686822
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0499593517345 Issued in FL
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

Updated by the provider on Aug 24, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
683629196MedicaidFL
683629198MedicaidFL
1067201MedicaidFL
683629103MedicaidFL
683629105MedicaidFL
229699MedicaidFL
683629104MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Elite Support Care Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "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.

Verify at the official NPI Registry.