NPIMap

Organization Active NPI

Elite Community Health, LLC

  • Community/Behavioral Health Agency
  • Gastonia, NC
National Provider Identifier
1104158369
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-036-279 Issued in NC
Legal business name
ELITE COMMUNITY HEALTH, LLC
Practice address
252 Wilmot Dr
Gastonia, NC 28054-4047
Phone
(704) 674-4129
NPI assigned
Feb 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Authorized official

Name
Joshua Steele
Title
Owner/Executive Director
Phone
(704) 864-9668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-036-279 NC Primary

Addresses

Primary practice location

252 Wilmot Dr
Gastonia, NC 28054-4047

Mailing address

2212 Union Rd
Suite 700, PMB 507
Gastonia, NC 28054-3700
Phone (704) 864-9668

Other identifiers 1

IdentifierTypeStateIssuer
8300629QMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Elite Community Health LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

2212 Union Rd
Ste 700
Gastonia, NC 28054

252 Wilmot Dr
Gastonia, NC 28054
Phone (704) 674-4129

NPI Registry JSON

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1104158369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 UNION RD",
            "address_2": "SUITE 700, PMB 507",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543700",
            "telephone_number": "704-864-9668",
            "fax_number": "704-864-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 WILMOT DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544047",
            "telephone_number": "704-674-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE COMMUNITY HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-12",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-864-9668"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-036-279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300629Q",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.