NPIMap

Organization Active NPI

Elite Community Services, LLC

  • Behavior Analyst
  • Gilbert, AZ
National Provider Identifier
1215559810
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ELITE COMMUNITY SERVICES, LLC
Practice address
3651 E Baseline Rd Ste E-222
Gilbert, AZ 85234-2689
Phone
(480) 558-1275
Fax
(480) 558-1276
NPI assigned
May 18, 2020
Last updated
May 18, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
ELITE COMMUNITY SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 18, 2020

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

Authorized official

Name
Ms. Susan Appenzeller
Title
C.E.O.
Phone
(888) 558-1275

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

3651 E Baseline Rd Ste E-222
Gilbert, AZ 85234-2689

Mailing address

3651 E Baseline Rd Ste E-222
Gilbert, AZ 85234-2689
Phone (480) 558-1275

Other practice location 1

2501 N 4th St Ste 12
Flagstaff, AZ 86004-3700
Phone (928) 522-3111

Other practice location 2

1790 S 3rd Ave Ste 3
Yuma, AZ 85364-5660
Phone (928) 783-4069

National Provider Directory

National Provider Directory
Tax ID family
Elite Community Services LLC2 organizations share this tax ID, including this one
Part of
Elite Community Services LLC

Other organizations with this tax ID 1

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

Locations

2501 N 4th St
Ste 12
Flagstaff, AZ 86004
Phone (928) 522-3111

1790 S 3rd Ave
Ste 3
Yuma, AZ 85364
Phone (928) 783-4069

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589760000000",
    "number": "1215559810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 E BASELINE RD STE E-222",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342689",
            "telephone_number": "480-558-1275",
            "fax_number": "480-558-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 E BASELINE RD STE E-222",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342689",
            "telephone_number": "480-558-1275",
            "fax_number": "480-558-1276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 N 4th St Ste 12",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860043700",
            "country_code": "US",
            "telephone_number": "928-522-3111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1790 S 3rd Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853645660",
            "country_code": "US",
            "telephone_number": "928-783-4069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE COMMUNITY SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELITE COMMUNITY SERVICES, LLC",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A",
        "authorized_official_last_name": "APPENZELLER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "888-558-1275",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.