Elite Wound Care & Orthotics, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ELITE WOUND CARE & ORTHOTICS, INC

Practice address

532 N Telshor Blvd Ste H
Las Cruces, NM 88011-8234

Phone

(575) 202-2288

Fax

(575) 222-1847

NPI assigned

May 22, 2023

Last updated

May 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jaime SanchezNPI 1093178766

Title

President

Phone

(575) 993-9890

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jaime Sanchez, AGACNP

  • Family Nurse Practitioner
  • Las Cruces, NM
  • NPI 1093178766
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1386336188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2845",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880042845",
            "telephone_number": "575-303-2929",
            "fax_number": "575-222-1847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 N TELSHOR BLVD STE H",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118234",
            "telephone_number": "575-202-2288",
            "fax_number": "575-222-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE WOUND CARE & ORTHOTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "575-993-9890"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Primary Care LLC
• Elite Primary Care LLC (Elite Orthotics & DME)
• Elite Primary Care, LLC (Elite Specialized Services)
• Elite Primary Care, LLC (Elite Methadone)
• Elite Specialized Services LLC
• Elite Wound Care & Orthotics, LLC
• Jonathan D Ellen, MD
• Joyce Ann Eller, M.ED., LED
• Melissa Ellet
• Avra Elliott

• Clinic/Center in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.