Elite Companion Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC2243 Issued in NC

Legal business name

ELITE COMPANION CARE

Practice address

10547 N Main St
Suite E
Archdale, NC 27263-2883

Phone

(336) 431-2174

Fax

(336) 431-2174

NPI assigned

Mar 14, 2007

Last updated

Sep 13, 2007By 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

Miss Tori M Dumas

Title

Director

Phone

(336) 431-2174

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1093849002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 263",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272610263",
            "telephone_number": "336-431-2174",
            "fax_number": "336-431-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10547 N MAIN ST",
            "address_2": "SUITE E",
            "city": "ARCHDALE",
            "state": "NC",
            "postal_code": "272632883",
            "telephone_number": "336-431-2174",
            "fax_number": "336-431-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE COMPANION CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "DUMAS",
        "authorized_official_first_name": "TORI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-431-2174",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600898",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409504",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Tyler Earnst, D.C.
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• Cynthia Dee Edwards, LCSW
• Kimberly Dellinger Efird, RPH
• John David Ellington
• Eric Tobias Helms (Carolina Sleep Center)
• Richard Timothy Escajeda, MD
• Debbie Milan Esque, LPC
• Mitchell N Evans, OD

• Home Health Agency in Archdale, NC
• Providers in Archdale, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.