Elite Care Medical Supplies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ELITE CARE MEDICAL SUPPLIES LLC

Practice address

3100 University Blvd S Ste 109
Jacksonville, FL 32216-2737

Phone

(904) 504-0601

Fax

(866) 667-9488

NPI assigned

Nov 21, 2018

Organization subpart

No

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

Authorized official

Name

Elijah Walker

Title

Owner

Phone

(904) 504-0601

Specialties & licenses 3

Addresses

Other names 1

• Elite Care Medical Supplies LLC Doing business as

Locations

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1265901110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 UNIVERSITY BLVD S STE 109",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162737",
            "telephone_number": "904-504-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 UNIVERSITY BLVD S STE 109",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162737",
            "telephone_number": "904-504-0601",
            "fax_number": "866-667-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARE MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-21",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "ELIJAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-504-0601"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Care Medical Supplies LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric Alan Eliason, CCC-A
• Torri Elie
• Ronald Elinoff, DDS
• Laith Elissa
• Elite Barr Transportation LLC
• Elite Care Transport Services LLC
• Elite Home Care of Jax LLC
• Elite Home Health LLC
• Elite Hospitalist Group
• Elite in Home Physicians

• Durable Medical Equipment & Medical Supplies in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.