Organization Active NPI

Elite Homecare Inc

  • Oxygen Equipment & Supplies (DME)
  • Richmond, VA
National Provider Identifier
1124138649
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
0206009178 Issued in VA
Legal business name
ELITE HOMECARE INC
Practice address
10605 Patterson Ave
Suite D
Richmond, VA 23238-4742
Phone
(804) 675-4900
Fax
(804) 675-4364
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Ms. Anita Jean Winfree, RN
Title
Vice President
Phone
(434) 296-4155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 0206009178 VA Primary

Addresses

Primary practice location

10605 Patterson Ave
Suite D
Richmond, VA 23238-4742

Mailing address

PO Box 303
Ivy, VA 22945-0303
Phone (434) 296-4155

Other identifiers 1

IdentifierTypeStateIssuer
009108688MedicaidVA

National Provider Directory

National Provider Directory

Locations

10605 Patterson Ave
Ste D
Richmond, VA 23238
Phone (804) 675-4900

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1124138649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 303",
            "city": "IVY",
            "state": "VA",
            "postal_code": "229450303",
            "telephone_number": "434-296-4155",
            "fax_number": "804-749-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10605 PATTERSON AVE",
            "address_2": "SUITE D",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232384742",
            "telephone_number": "804-675-4900",
            "fax_number": "804-675-4364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HOMECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "WINFREE",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "434-296-4155",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "VA",
            "license": "0206009178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009108688",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.