Active NPI
Elite Therapy Service Inc
- Home Health Agency
- Miami, FL
National Provider Identifier
1437705258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ELITE THERAPY SERVICE INC
- Practice address
- 815 NW 57TH Ave Ste 200-14
Miami, FL 33126-2018 - Phone
- (305) 832-9079
- NPI assigned
- Aug 16, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eduardo R Suarez
- Title
- Owner
- Phone
- (786) 234-5723
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
815 NW 57TH Ave Ste 200-14
Miami, FL 33126-2018
Mailing address
3731 SW 136TH Ave
Miami, FL 33175-7251
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104988800 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Elite Therapy Service Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami, FL
- NPI 1023626819
-
- Community/Behavioral Health Agency
- Miami, FL
- NPI 1811606213
Locations
815 NW 57th Ave
Ste 114A
Miami, FL 33126
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694131200000",
"number": "1437705258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3731 SW 136TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331757251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 NW 57TH AVE STE 200-14",
"city": "MIAMI",
"state": "FL",
"postal_code": "331262018",
"telephone_number": "305-832-9079"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE THERAPY SERVICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-16",
"last_updated": "2023-09-08",
"certification_date": "2023-09-08",
"status": "A",
"authorized_official_last_name": "SUAREZ",
"authorized_official_first_name": "EDUARDO",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-234-5723"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104988800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.