Organization Active NPI

Elite Home Care Transportation

  • Non-emergency Medical Transport (VAN)
  • Kennesaw, GA
National Provider Identifier
1083423040
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
ELITE HOME CARE TRANSPORTATION
Practice address
1300 Ridenour Blvd NW Ste 104
Kennesaw, GA 30152-4528
Phone
(678) 831-2264
Fax
(866) 571-8385
NPI assigned
Jan 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Authorized official

Name
Dr. Alicia JohnsonNPI 1639535503
Title
Owner/Ceo
Phone
(678) 831-2264

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
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

1300 Ridenour Blvd NW Ste 104
Kennesaw, GA 30152-4528

Mailing address

1300 Ridenour Blvd NW Ste 104
Kennesaw, GA 30152-4528
Phone (678) 831-2264

National Provider Directory

National Provider Directory

Locations

1300 Ridenour Blvd NW
Ste 104
Kennesaw, GA 30152
Phone (678) 831-2264

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": "1735948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1083423040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 RIDENOUR BLVD NW STE 104",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524528",
            "telephone_number": "678-831-2264",
            "fax_number": "866-571-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 RIDENOUR BLVD NW STE 104",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524528",
            "telephone_number": "678-831-2264",
            "fax_number": "866-571-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HOME CARE TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-04",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "678-831-2264",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.