NPIMap

Organization Active NPI

Elite Care, Inc.

  • Community/Behavioral Health Agency
  • Williamston, NC
National Provider Identifier
1093855439
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ELITE CARE, INC.
Practice address
412 Washington St # B
Williamston, NC 27892-2726
Phone
(252) 792-7812
Fax
(252) 792-7812
NPI assigned
Feb 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Demetrice Yvonne WilsonNPI 1700120409
Title
Director
Phone
(252) 792-7812

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

412 Washington St # B
Williamston, NC 27892-2726

Mailing address

4139 Bailey Dr
Winterville, NC 28590-7869
Phone (252) 746-3464

National Provider Directory

National Provider Directory
Tax ID family
Elite Care Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

412 Washington St
#B
Williamston, NC 27892
Phone (252) 792-7812

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093855439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4139 BAILEY DR",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285907869",
            "telephone_number": "252-746-3464",
            "fax_number": "252-792-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 WASHINGTON ST # B",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278922726",
            "telephone_number": "252-792-7812",
            "fax_number": "252-792-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DEMETRICE",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-792-7812"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.