Elite Health Services LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ELITE HEALTH SERVICES LLC

Practice address

2355 Highway 36 W Ste 400
Saint Paul,, MN 55113-3905

Phone

(612) 363-2105

NPI assigned

Oct 28, 2024

Last updated

Oct 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abdirizaq Abdirahman Farah

Title

Owner

Phone

(612) 363-2105

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1093537300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 HIGHWAY 36 W STE 400",
            "city": "SAINT PAUL,",
            "state": "MN",
            "postal_code": "551133905",
            "telephone_number": "612-363-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 HIGHWAY 36 W STE 400",
            "city": "SAINT PAUL,",
            "state": "MN",
            "postal_code": "551133905",
            "telephone_number": "612-363-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "ABDIRIZAQ",
        "authorized_official_middle_name": "ABDIRAHMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-363-2105"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Eliason, DC
• Lynnette K Eliason, DDS
• Zackary W Eliason, PT, DPT
• Elite Care Chiropractic P.a.
• Elite Chiropractic-North St. Paul
• Elite Home Health Services, Incorporated
• Elite Radiology P.a.
• Elite Recovery LLC
• Elizabeth Hayes, Psy.D., L.P., PLLC
• Elizabeth Hubbard Brady, MSW, Licsw, LLC

• Clinic/Center in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.