Organization Active NPI

Elite Care Wellness LLC

  • Adult Mental Health Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1396542353
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ELITE CARE WELLNESS LLC
Practice address
4040 E McDowell Rd Ste 418
Phoenix, AZ 85008-4448
Phone
(602) 550-9492
NPI assigned
Feb 27, 2025
Last updated
Feb 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Authorized official

Name
Lilian Adhiambo
Title
Ceo
Phone
(747) 356-1555

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X NU
Health Service Clinic/Center 261QH0100X NU
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

4040 E McDowell Rd Ste 418
Phoenix, AZ 85008-4448

Mailing address

4040 E McDowell Rd Ste 418
Phoenix, AZ 85008-4448
Phone (602) 550-9492

National Provider Directory

National Provider Directory
Tax ID family
Elite Care Wellness LLC2 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.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1396542353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 E MCDOWELL RD STE 418",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084448",
            "telephone_number": "602-550-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 E MCDOWELL RD STE 418",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084448",
            "telephone_number": "602-550-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "ADHIAMBO",
        "authorized_official_first_name": "LILIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-356-1555"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.