NPIMap

Organization Active NPI

Eliteservices Homecare

  • In Home Supportive Care Agency
  • Mechanicsburg, PA
National Provider Identifier
1083321087
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ELITESERVICES HOMECARE
Practice address
88 Edris LN
Mechanicsburg, PA 17050-7816
Phone
(678) 612-2408
NPI assigned
Oct 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Authorized official

Name
Aisatou DialloNPI 1598043911
Title
Administrator
Phone
(678) 612-2408

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

88 Edris LN
Mechanicsburg, PA 17050-7816

Mailing address

88 Edris LN
Mechanicsburg, PA 17050-7816
Phone (678) 612-2408

Other names 1

  • EliteServices HomeCare Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1083321087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 EDRIS LN",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170507816",
            "telephone_number": "678-612-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 EDRIS LN",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170507816",
            "telephone_number": "678-612-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITESERVICES HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "DIALLO",
        "authorized_official_first_name": "AISATOU",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-612-2408"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EliteServices HomeCare",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.