Organization Active NPI

Elite Nursing Staff

  • Home Health Agency
  • Oxford, NC
National Provider Identifier
1295939684
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC3217 Issued in NC
Legal business name
ELITE NURSING STAFF
Practice address
125 Old Warehouse SQ
Oxford, NC 27565-2953
Phone
(919) 693-6400
Fax
(919) 692-1011
NPI assigned
Jun 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Hassan Harris
Title
Ceo President
Phone
(919) 693-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3217 NC Primary

Addresses

Primary practice location

125 Old Warehouse SQ
Oxford, NC 27565-2953

Mailing address

125 Old Warehouse SQ
Oxford, NC 27565-2953
Phone (919) 693-6400

Other identifiers 2

IdentifierTypeStateIssuer
3418040MedicaidNC
6601401MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Elite Nursing Staff2 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": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295939684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 OLD WAREHOUSE SQ",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652953",
            "telephone_number": "919-693-6400",
            "fax_number": "919-692-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 OLD WAREHOUSE SQ",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652953",
            "telephone_number": "919-693-6400",
            "fax_number": "919-692-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE NURSING STAFF",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "919-693-6400"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418040",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601401",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.