Elite Healthcare Academy LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

ELITE HEALTHCARE ACADEMY LLC

Doing business as

Elite Healthcare Academy

Practice address

951 W Huron St
Waterford, MI 48328-3727

Phone

(248) 980-2171

NPI assigned

Jan 20, 2022

Organization subpart

No

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

Authorized official

Name

Tiffany Garvin, RNNPI 1083109086

Title

Owner

Phone

(248) 980-2171

Specialties & licenses 1

Addresses

Other names 1

• Elite Healthcare Academy Doing business as

Locations

Practitioners 1

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

• Tiffany L Garvin

  • Registered Nurse
  • Rochester Hills, MI
  • NPI 1083109086
  NPD Authorized official

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1083366108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 W HURON ST",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283727",
            "telephone_number": "248-980-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 W HURON ST",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283727",
            "telephone_number": "248-980-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HEALTHCARE ACADEMY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "GARVIN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-980-2171",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Healthcare Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Danielle Lynn Elliott, NP

• Health Service Clinic/Center in Waterford, MI
• Providers in Waterford, MI by specialty
• Health Service Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.