Elite Med LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ELITE MED LLC

Practice address

1021 Kingsway Dr Ste 11a
Cape Girardeau, MO 63701-3642

Phone

(877) 761-1204

NPI assigned

Feb 15, 2024

Organization subpart

No

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

Authorized official

Name

Chad Callis

Title

President

Phone

(877) 761-1204

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1205691508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 TUMBLEWEED PASS",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637558545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 KINGSWAY DR STE 11A",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637013642",
            "telephone_number": "877-761-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "CALLIS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-761-1204"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Frederick Elfrink, MD
• Michele Gail Elfrink, SLP
• David Elimelech, DMD
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• Elite Life Care LLC
• Sierra Noelle Elliott-Cotton, PLPC
• Eminem Hold Co Inc (True Test HRT)
• Candace Nichole Emmendorfer, PA-C
• Charity Emmons
• Gretchin Dale Emrick, APRN

• Durable Medical Equipment & Medical Supplies in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.