Organization Active NPI

Elite Supply & Services, LLC

  • Transportation Network Company
  • Clermont, FL
National Provider Identifier
1093534240
Registry record updated Oct 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation Network CompanyTaxonomy code 342000000X
Legal business name
ELITE SUPPLY & SERVICES, LLC
Doing business as
Breathe Easy Rideshare, CleanAir Medical Couriers, Sparkling Cleaning
Practice address
1100 US Hwy 27 Ste F
Unit 135758
Clermont, FL 34714
Phone
(843) 251-8721
NPI assigned
Oct 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2024

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

Authorized official

Name
Mr. Thomas Earl Martin III, PHD
Title
Owner
Phone
(843) 251-8721

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Network Company 342000000X Primary
Private Vehicle 347C00000X

Addresses

Primary practice location

1100 US Hwy 27 Ste F
Unit 135758
Clermont, FL 34714

Mailing address

1100 US Hwy 27 Ste F
Unit 135758
Clermont, FL 34714
Phone (843) 251-8721

Other names 1

  • Breathe Easy Rideshare, CleanAir Medical Couriers, Sparkling Cleaning Doing business as

National Provider Directory

National Provider Directory

Locations

1100 US Highway 27
Ste F
Clermont, FL 34714
Phone (843) 251-8721

NPI Registry JSON

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

{
    "created_epoch": "1728086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728086400000",
    "number": "1093534240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 US HWY 27 STE F",
            "address_2": "UNIT 135758",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "34714",
            "telephone_number": "843-251-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 US HWY 27 STE F",
            "address_2": "UNIT 135758",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "34714",
            "telephone_number": "843-251-8721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SUPPLY & SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-05",
        "last_updated": "2024-10-05",
        "certification_date": "2024-10-05",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-251-8721",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breathe Easy Rideshare, CleanAir Medical Couriers, Sparkling Cleaning",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2024; 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.