Elite Home Care

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

033013339 Issued in GA

Legal business name

ELITE HOME CARE

Practice address

6804 Blackstone PL
Mableton, GA 30126-5441

Phone

(678) 699-4919

Fax

(678) 402-7965

NPI assigned

Apr 6, 2011

Organization subpart

Yes

Parent organization

NEWMAN & LONG ENTERPRISE, LLCAs reported in NPPES

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

Authorized official

Name

Shantel Long

Title

Ceo

Phone

(678) 699-4919

Specialties & licenses 2

Addresses

Part of

Elite Home Care

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1467741710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6804 BLACKSTONE PL",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301265441",
            "telephone_number": "678-699-4919",
            "fax_number": "678-402-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6804 BLACKSTONE PL",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301265441",
            "telephone_number": "678-699-4919",
            "fax_number": "678-402-7965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HOME CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEWMAN & LONG ENTERPRISE, LLC",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "SHANTEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-699-4919"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "GA",
            "license": "033013339",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "GA",
            "license": "033013339",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Mableton, GA
• Providers in Mableton, GA by specialty
• Mental Illness Community Based Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.