Elite Homecare Incorporated

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ELITE HOMECARE INCORPORATED

Doing business as

SYNERGY HomeCare of Prescott

Practice address

7762 E Florentine Rd Ste D
Prescott Valley, AZ 86314-1209

Phone

(928) 515-3318

Fax

(928) 441-0554

NPI assigned

Oct 25, 2017

Last updated

Jun 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alan Wikman

Title

Owne

Phone

(928) 515-3318

Specialties & licenses 1

Addresses

Other names 1

• SYNERGY HomeCare of Prescott Doing business as

Locations

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1245742667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7762 E FLORENTINE RD STE D",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141209",
            "telephone_number": "928-515-3318",
            "fax_number": "928-441-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7762 E FLORENTINE RD STE D",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141209",
            "telephone_number": "928-515-3318",
            "fax_number": "928-441-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HOMECARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-25",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "WIKMAN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNE",
        "authorized_official_telephone_number": "928-515-3318"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SYNERGY HomeCare of Prescott",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eleanor Eunice Tubat Edmilao
• Edward M. Reifman, DDS Inc
• Robert Lee Edwards III, LDO
• Stacey Margarette Edwards, SLPA
• Denise M Eldred, PT
• Jeffery Elmer
• Kristina L Elmer
• Mark Edward Emshwiller, DMD
• Holly Engelman, NP
• Eon Consulting LLC

• In Home Supportive Care Agency in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• In Home Supportive Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.