El-Elyon Care Services, Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

MHL-026-716 Issued in NC

Legal business name

EL-ELYON CARE SERVICES, INC.

Practice address

5315 Parkton Rd
Hope Mills, NC 28348-8694

Phone

(910) 424-8370

Fax

(910) 424-1596

NPI assigned

Jun 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Smith

Title

Owner

Phone

(910) 424-8370

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073541900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5315 PARKTON RD",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283488694",
            "telephone_number": "910-424-8370",
            "fax_number": "910-424-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 PARKTON RD",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283488694",
            "telephone_number": "910-424-8370",
            "fax_number": "910-424-1596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL-ELYON CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-424-8370",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-026-716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603355",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Douglas, LCSW
• Carolina Duval, M.A. LPCA
• Eunice Latanya Eaddy
• Edc Drug Stores
• Rondell Austin Edwards Jr.
• Shirley Elbinias-Tan, MD
• Elevated Home Care Services, Inc
• Elitecare of Fayetteville PLLC
• Elliott & Elliott Enterprise,LLP
• Elliott & Elliott Enterprises

• Mental Illness Community Based Residential Treatment Facility in Hope Mills, NC
• Providers in Hope Mills, NC by specialty
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.