NPIMap

Organization Active NPI

Elite Community Services, LLC

  • In Home Supportive Care Agency
  • Gilbert, AZ
National Provider Identifier
1447593496
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
NV20121451557 Issued in NV
Legal business name
ELITE COMMUNITY SERVICES, LLC
Practice address
3651 E Baseline Rd
#E-222
Gilbert, AZ 85234-2689
Phone
(888) 558-1275
Fax
(480) 558-1276
NPI assigned
Mar 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Authorized official

Name
Susan Appenzeller
Title
C.O.O.
Phone
(888) 558-1275

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NV20121451557 NV Primary
In Home Supportive Care Agency 253Z00000X L-1449513-8 AZ

Addresses

Primary practice location

3651 E Baseline Rd
#E-222
Gilbert, AZ 85234-2689

Mailing address

3651 E. Baseline Rd.
#E-222
Gilbert, AZ 85234
Phone (888) 558-1275

Other identifiers 2

IdentifierTypeStateIssuer
385750OtherAZAHCCCS - ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM CERTIFICATION
RFQVA DDD710000OtherAZAZ DEPT. OF ECONOMIC SECURITY CERTIFICATE FOR HOME AND COMMUNITY BASED SERVICES

National Provider Directory

National Provider Directory
Tax ID family
Elite Community Services LLC2 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.

Locations

3651 E Baseline Rd
#E222
Gilbert, AZ 85234
Phone (888) 558-1275

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1447593496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 E. BASELINE RD.",
            "address_2": "#E-222",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85234",
            "telephone_number": "888-558-1275",
            "fax_number": "480-558-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 E BASELINE RD",
            "address_2": "#E-222",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342689",
            "telephone_number": "888-558-1275",
            "fax_number": "480-558-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE COMMUNITY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "APPENZELLER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "C.O.O.",
        "authorized_official_telephone_number": "888-558-1275"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NV",
            "license": "NV20121451557",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AZ",
            "license": "L-1449513-8",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS - ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM CERTIFICATION",
            "identifier": "385750",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ DEPT. OF ECONOMIC SECURITY CERTIFICATE FOR HOME AND COMMUNITY BASED SERVICES",
            "identifier": "RFQVA DDD710000",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.