Active NPI
Elite Care Home
- In Home Supportive Care Agency
- Gulfport, MS
National Provider Identifier
1144059015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- ELITE CARE HOME
- Practice address
- 1520 29TH Ave Ste 16
Gulfport, MS 39501-2843 - Phone
- (228) 596-5911
- NPI assigned
- Jul 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea Riley
- Title
- Coo and Coowner
- Phone
- (228) 918-9533
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Assisted Living Facility | 310400000X | |||
| Inpatient Hospice | 315D00000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
1520 29TH Ave Ste 16
Gulfport, MS 39501-2843
Mailing address
1520 29TH Ave Ste 16
Gulfport, MS 39501-2843
Phone (228) 596-5911
Other names 1
- Haven Home Care LLC.
National Provider Directory
National Provider DirectoryLocations
1520 29th Ave
Ste 16
Gulfport, MS 39501
Phone (228) 209-6307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775520000000",
"number": "1144059015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 29TH AVE STE 16",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395012843",
"telephone_number": "228-596-5911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 29TH AVE STE 16",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395012843",
"telephone_number": "228-596-5911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE CARE HOME",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-30",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A",
"authorized_official_last_name": "RILEY",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "COO AND COOWNER",
"authorized_official_telephone_number": "228-918-9533"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "315D00000X",
"taxonomy_group": "",
"desc": "Hospice, Inpatient",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Haven Home Care LLC.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.