Elite Group Services, Inc.

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

ELITE GROUP SERVICES, INC.

Practice address

1188 Fayetteville Rd
Raeford, NC 28376-2536

Phone

(910) 565-2787

NPI assigned

Dec 1, 2014

Last updated

Apr 15, 2024By 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

Harry Southerland, JD

Title

Ceo

Phone

(910) 565-2857

Specialties & licenses 11

Addresses

Tax ID family

Elite Group Services Inc2 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.

• Elite Group Services, Inc.

  • Community/Behavioral Health Agency
  • Raeford, NC
  • NPI 1508610767
  NPD tax ID

Locations

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1407253875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283760417",
            "telephone_number": "910-978-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 FAYETTEVILLE RD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283762536",
            "telephone_number": "910-565-2787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 W Ridgeway St",
            "address_purpose": "LOCATION",
            "city": "Warrenton",
            "state": "NC",
            "postal_code": "275891715",
            "country_code": "US",
            "telephone_number": "252-879-0250",
            "fax_number": "252-879-0252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2148 Hwy 401 Bus",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283765857",
            "country_code": "US",
            "telephone_number": "910-565-2857",
            "fax_number": "910-248-6258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE GROUP SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "SOUTHERLAND",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-565-2857",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• E Squared Community Services LLC
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• Kim Edmonds, BS
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• Helene Franchanita Edwards, R.D. , L.D.N
• Elite Group Services, Inc.
• Elite Home Health Care of North Carolina
• Elite Supply Services, Inc. (Elite Group Warren)
• Israa Elkattan, DMD
• Christine L. Elliott, LCAS

• Personal Care Attendant in Raeford, NC
• Providers in Raeford, NC by specialty
• Personal Care Attendant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.