Active NPI
Elite Housecalls LLC
- Family Nurse Practitioner
- Hopkinsville, KY
National Provider Identifier
1235848946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- ELITE HOUSECALLS LLC
- Practice address
- 2680 Masonville Beverly Rd
Hopkinsville, KY 42240-9394 - Phone
- (270) 484-9984
- Fax
- (270) 569-3256
- NPI assigned
- Nov 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robbin Baldwin, NP
- Title
- Owner
- Phone
- (270) 484-9984
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
2680 Masonville Beverly Rd
Hopkinsville, KY 42240-9394
Mailing address
2680 Masonville Beverly Rd
Hopkinsville, KY 42240-9394
Phone (270) 484-9984
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231101001245 | KY | Part B Supplier - Clinic/Group Practice | 5395191068 |
Receives reassigned benefits from 1 practitioner Practice locations: Hopkinsville, KY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694736000000",
"number": "1235848946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2680 MASONVILLE BEVERLY RD",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "422409394",
"telephone_number": "270-484-9984",
"fax_number": "270-569-3256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2680 MASONVILLE BEVERLY RD",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "422409394",
"telephone_number": "270-484-9984",
"fax_number": "270-569-3256"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE HOUSECALLS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-21",
"last_updated": "2023-09-15",
"certification_date": "2023-02-22",
"status": "A",
"authorized_official_last_name": "BALDWIN",
"authorized_official_first_name": "ROBBIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "270-484-9984",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hopkinsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.