Elite Care GH 1 LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ELITE CARE GH 1 LLC

Practice address

4801 Watauga Rd
Fayetteville, NC 28304-3227

Phone

(732) 674-5748

NPI assigned

May 26, 2026

Organization subpart

Yes

Parent organization

ELITE CARE SERVICE INCAs reported in NPPES

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

Authorized official

Name

James Frederick

Title

Ceo

Phone

(732) 674-5748

Specialties & licenses 1

Addresses

Part of

Elite Care Service Inc

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1215868682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9525",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283119088",
            "telephone_number": "732-674-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 WATAUGA RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043227",
            "telephone_number": "732-674-5748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARE GH 1 LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELITE CARE SERVICE INC",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-674-5748"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.