Organization Active NPI

Elite Afc III LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Ypsilanti, MI
National Provider Identifier
1356216774
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
ELITE AFC III LLC
Practice address
2120 Bradley Ave
Ypsilanti, MI 48198-9233
Phone
(734) 340-2112
NPI assigned
Oct 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Authorized official

Name
Lara Saleh
Title
Director
Phone
(973) 955-7825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

2120 Bradley Ave
Ypsilanti, MI 48198-9233

Mailing address

PO Box 701160
Plymouth, MI 48170-0960
Phone (973) 955-7825

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1356216774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 701160",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481700960",
            "telephone_number": "973-955-7825",
            "fax_number": "269-883-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 BRADLEY AVE",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481989233",
            "telephone_number": "734-340-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE AFC III LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "SALEH",
        "authorized_official_first_name": "LARA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-955-7825"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

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