Active NPI
Elite Home Care
- Adult Day Care Clinic/Center
- Spartanburg, SC
National Provider Identifier
1346691102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- ADC-0406
- Legal business name
- ELITE HOME CARE
- Practice address
- 2000 Bud Arthur Bridge Rd
Spartanburg, SC 29307-4417 - Phone
- (864) 642-1916
- Fax
- (704) 919-5011
- NPI assigned
- Jun 23, 2016
- 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
- Gwen Painter
- Title
- Administrator
- Phone
- (864) 529-9849
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | |||
| Adult Day Care Clinic/Center | 261QA0600X | ADC-0406 | SC | Primary |
| Adult Day Care Clinic/Center | 261QA0600X |
Addresses
Primary practice location
2000 Bud Arthur Bridge Rd
Spartanburg, SC 29307-4417
Mailing address
PO Box 1181
Spartanburg, SC 29304-1181
Phone (864) 529-8426
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EN0858 | Medicaid | SC | |
| EX2036 | Medicaid | SC | |
| EX1507 | Medicaid | SC | |
| EN1492 | Medicaid | SC | |
| EX1716 | Medicaid | SC | |
| EX1827 | Medicaid | SC | |
| EN1788 | Medicaid | SC | |
| EY1008 | Medicaid | SC | |
| EX1828 | Medicaid | SC | |
| EX0533 | Medicaid | SC | |
| EY1000 | Medicaid | SC | |
| EX1348 | Medicaid | SC |
Other names 1
- Elite Day Center of Spartanburg
National Provider Directory
National Provider Directory- Tax ID family
- Elite Day Center of Spartanburg
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Spartanburg, SC
- NPI 1003294851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663545600000",
"number": "1346691102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1181",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293041181",
"telephone_number": "864-529-8426",
"fax_number": "704-919-5011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 BUD ARTHUR BRIDGE RD",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293074417",
"telephone_number": "864-642-1916",
"fax_number": "704-919-5011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE HOME CARE",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-23",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A",
"authorized_official_last_name": "PAINTER",
"authorized_official_first_name": "GWEN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "864-529-9849"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "SC",
"license": "ADC-0406",
"primary": true
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EN0858",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EX2036",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EX1507",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EN1492",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EX1716",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EX1827",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EN1788",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EY1008",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EX1828",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EX0533",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EY1000",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EX1348",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Elite Day Center of Spartanburg",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Elite Day Center of Spartanburg",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.