NPIMap

Organization Active NPI

Elite Care Services, Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Albemarle, NC
National Provider Identifier
1457793119
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
MHL-084-084 Issued in NC
Legal business name
ELITE CARE SERVICES, INC
Practice address
619 Mountain PL
Albemarle, NC 28001-6613
Phone
(704) 982-4068
NPI assigned
Jul 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Christopher Son Bennett
Title
Ceo
Phone
(704) 982-4068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL-084-084 NC Primary

Addresses

Primary practice location

619 Mountain PL
Albemarle, NC 28001-6613

Mailing address

2000 W Main St Ste D
Albemarle, NC 28001-5446
Phone (704) 982-4068

National Provider Directory

National Provider Directory
Tax ID family
Elite Care Services Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1457793119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W MAIN ST STE D",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280015446",
            "telephone_number": "704-982-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 MOUNTAIN PL",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280016613",
            "telephone_number": "704-982-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "SON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-982-4068"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-084-084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albemarle, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.