Organization Active NPI

Elite Care Home

  • In Home Supportive Care Agency
  • Gulfport, MS
National Provider Identifier
1144059015
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Apr 7, 2026

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)CodeLicenseStatePrimary
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. Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.