NPIMap

Organization Active NPI

Elite Care Inc

  • Primary Care Clinic/Center
  • Goldsboro, NC
National Provider Identifier
1437585239
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ELITE CARE INC
Practice address
715 Simmons St
Goldsboro, NC 27530-3842
Phone
(919) 734-0483
NPI assigned
Sep 25, 2013
Last updated
Sep 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Authorized official

Name
Demetrice Yvonne WilsonNPI 1700120409
Title
Owner
Phone
(252) 792-7812

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

715 Simmons St
Goldsboro, NC 27530-3842

Mailing address

3836 Abby Lynn Dr
Greenville, NC 27858-7315
Phone (252) 814-6957

National Provider Directory

National Provider Directory
Tax ID family
Elite Care Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

715 Simmons St
Goldsboro, NC 27530
Phone (252) 564-8145

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": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1437585239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3836 ABBY LYNN DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278587315",
            "telephone_number": "252-814-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 SIMMONS ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275303842",
            "telephone_number": "919-734-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DEMETRICE",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-792-7812"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.