Organization Active NPI

Elite Home Care

  • Adult Day Care Clinic/Center
  • Spartanburg, SC
National Provider Identifier
1346691102
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
ADC-0406 Issued in SC
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

Updated by the provider on Sep 19, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
EN0858MedicaidSC
EX2036MedicaidSC
EX1507MedicaidSC
EN1492MedicaidSC
EX1716MedicaidSC
EX1827MedicaidSC
EN1788MedicaidSC
EY1008MedicaidSC
EX1828MedicaidSC
EX0533MedicaidSC
EY1000MedicaidSC
EX1348MedicaidSC

Other names 1

  • Elite Day Center of Spartanburg Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elite Day Center of Spartanburg2 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": "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.

Verify at the official NPI Registry.