NPIMap

Organization Active NPI

Elite Community Health

  • Community/Behavioral Health Agency
  • Gastonia, NC
National Provider Identifier
1396935268
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ELITE COMMUNITY HEALTH
Practice address
1558 Union Rd
Suite D
Gastonia, NC 28054-2214
Phone
(704) 864-9668
NPI assigned
Jul 27, 2007
Last updated
Dec 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Authorized official

Name
Joshua Steele
Title
Owner
Phone
(704) 864-9668

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1558 Union Rd
Suite D
Gastonia, NC 28054-2214

Mailing address

2212 Union Rd Ste 700
PMB 507
Gastonia, NC 28054-3708

Other identifiers 2

IdentifierTypeStateIssuer
8300629VMedicaidNC
8300629BMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Elite Community Health LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1396935268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 UNION RD STE 700",
            "address_2": "PMB 507",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 UNION RD",
            "address_2": "SUITE D",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542214",
            "telephone_number": "704-864-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE COMMUNITY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-864-9668"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300629V",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300629B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.