Elite 360 Health and Wellness

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

ELITE 360 HEALTH AND WELLNESS

Practice address

8911 Dartway Dr
Dallas, TX 75227-7216

Phone

(214) 587-8655

Fax

(214) 242-9696

NPI assigned

Jan 10, 2019

Organization subpart

No

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

Authorized official

Name

Daniell Nicole Lucas, MTNPI 1861055600

Title

Owner

Phone

(214) 587-8655

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniell Nicole Lucas

  • Massage Therapist
  • Garland, TX
  • NPI 1861055600
  NPD Authorized official

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1376016410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8911 DARTWAY DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752277216",
            "telephone_number": "214-587-8655",
            "fax_number": "214-242-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8911 DARTWAY DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752277216",
            "telephone_number": "214-587-8655",
            "fax_number": "214-242-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE 360 HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "DANIELL",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-587-8655",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Robert Eliasz, D.D.S.
• Jasmine Elien, COTA/L
• Elim Autism Services Inc.
• Elim Diagnostic Center Inc.
• Flora Elimian, RRT
• Elite Alliance Physical Therapy PLLC
• Elite Anesthesia
• Elite Community Care HCS-Txhml Inc
• Elite Dental Associates - Dallas, P.C.
• Elite Dental Associates, PLLC

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Dallas, TX
• Providers in Dallas, TX by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.