Organization Active NPI

Elina Agency, Inc

  • Community/Behavioral Health Agency
  • Boca Raton, FL
National Provider Identifier
1396304242
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ELINA AGENCY, INC
Practice address
980 N Federal Hwy Ste 110
Boca Raton, FL 33432-2704
Phone
(561) 603-1445
NPI assigned
Jun 12, 2019
Last updated
Jun 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Authorized official

Name
Dimitri Petit-Frere
Title
Owner
Phone
(561) 603-1445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

980 N Federal Hwy Ste 110
Boca Raton, FL 33432-2704

Mailing address

980 N Federal Hwy Ste 110
Boca Raton, FL 33432-2704
Phone (561) 603-1445

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1396304242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 N FEDERAL HWY STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334322704",
            "telephone_number": "561-603-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 N FEDERAL HWY STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334322704",
            "telephone_number": "561-603-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELINA AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "PETIT-FRERE",
        "authorized_official_first_name": "DIMITRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-603-1445"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.