Elite Home Care Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC3556 Issued in NC

Legal business name

ELITE HOME CARE SERVICES, INC.

Practice address

812 W Innes St
Salisbury, NC 28144-4152

Phone

(704) 647-9869

Fax

(704) 647-9679

NPI assigned

Dec 22, 2006

Last updated

Jan 5, 2009By 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

Ms. Trina Antoinette McCoy

Title

Ceo

Phone

(704) 647-9869

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1447315221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1943",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281451943",
            "telephone_number": "704-279-0738",
            "fax_number": "704-279-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 W INNES ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281444152",
            "telephone_number": "704-647-9869",
            "fax_number": "704-647-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HOME CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "TRINA",
        "authorized_official_middle_name": "ANTOINETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-647-9869",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601588",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418245",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie J El, MA, NCC, LPC
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• Brian Ellis, DPT

• Home Health Agency in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.