Organization Active NPI

Elite Care and Staffing, LLC

  • Intellectual & Developmental Disabilities Psychologist
  • Glenolden, PA
National Provider Identifier
1215759261
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
Legal business name
ELITE CARE AND STAFFING, LLC
Practice address
39 S Chester Pike
Glenolden, PA 19036-1830
Phone
(302) 989-2045
NPI assigned
Oct 30, 2024
Last updated
Oct 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Authorized official

Name
Olive Favor Baimba
Title
President
Phone
(302) 898-2045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TM1800X Primary

Addresses

Primary practice location

39 S Chester Pike
Glenolden, PA 19036-1830

Mailing address

39 S Chester Pike
Glenolden, PA 19036-1830
Phone (302) 989-2045

National Provider Directory

National Provider Directory
Tax ID family
Elite Care and Staffing LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1215759261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 S CHESTER PIKE",
            "city": "GLENOLDEN",
            "state": "PA",
            "postal_code": "190361830",
            "telephone_number": "302-989-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 S CHESTER PIKE",
            "city": "GLENOLDEN",
            "state": "PA",
            "postal_code": "190361830",
            "telephone_number": "302-989-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARE AND STAFFING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "BAIMBA",
        "authorized_official_first_name": "OLIVE",
        "authorized_official_middle_name": "FAVOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-898-2045"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenolden, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.