NPIMap

Organization Active NPI

Elite Senior Care LLC

  • In Home Supportive Care Agency
  • Manila, AR
National Provider Identifier
1235645185
Registry record updated May 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ELITE SENIOR CARE LLC
Practice address
434 Hwy 18 Bypass
Manila, AR 72442
Phone
(870) 570-0340
Fax
(844) 293-7809
NPI assigned
Dec 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2022

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

Authorized official

Name
Lindsey Hagood
Title
Owner
Phone
(870) 565-5203

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 222015765 AR
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X
Supports Brokerage Agency 251X00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

434 Hwy 18 Bypass
Manila, AR 72442

Mailing address

P.O. Box 888
434 Hwy 18 Bypass
Manilla, AR 72442
Phone (870) 570-0340

Other identifiers 2

IdentifierTypeStateIssuer
277050732MedicaidAR
222015765MedicaidAR

Other names 1

  • Elite Senior Care Management Company Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Manila

National Provider Directory

National Provider Directory
Tax ID family
Elite Senior Care 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": "1513209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651968000000",
    "number": "1235645185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 888",
            "address_2": "434 HWY 18 BYPASS",
            "city": "MANILLA",
            "state": "AR",
            "postal_code": "72442",
            "telephone_number": "870-570-0340",
            "fax_number": "844-293-7809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 HWY 18 BYPASS",
            "city": "MANILA",
            "state": "AR",
            "postal_code": "72442",
            "telephone_number": "870-570-0340",
            "fax_number": "844-293-7809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-14",
        "last_updated": "2022-05-08",
        "certification_date": "2022-05-08",
        "status": "A",
        "authorized_official_last_name": "HAGOOD",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-565-5203"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AR",
            "license": "222015765",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277050732",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222015765",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Manila",
            "affiliation": "N",
            "address_1": "434 Hwy 18 Bypass",
            "city": "Manila",
            "state": "AR",
            "country_code": "US",
            "postal_code": "72442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Elite Senior Care Management Company",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Manila, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2022; 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.