Active NPI
Elitecare,LLC
- Prosthetic/Orthotic Supplier
- Chandler, AZ
National Provider Identifier
1467826263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- ELITECARE,LLC
- Practice address
- 3210 N Delaware St
Chandler, AZ 85225-1100 - Phone
- (602) 282-9940
- Fax
- (480) 323-2942
- NPI assigned
- Nov 17, 2015
- 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
- Ms. Hayley Forsyth
- Title
- General Partner
- Phone
- (480) 242-4884
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
3210 N Delaware St
Chandler, AZ 85225-1100
Mailing address
3210 N Delaware St
Chandler, AZ 85225-1100
Phone (602) 282-9940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170929003551 | AZ | DME Supplier - Medical Supply Company | 3274808274 | Practice locations: Chandler, AZ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Elitecare LLC | Canes and/or Crutches|Walkers|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
3210 N Delaware St
Chandler, AZ 85225
Phone (602) 282-9940
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.
-
- Durable Medical Equipment & Medical Supplies
- Tempe, AZ
- NPI 1124487285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689638400000",
"number": "1467826263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3210 N DELAWARE ST",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852251100",
"telephone_number": "602-282-9940",
"fax_number": "480-323-2942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3210 N DELAWARE ST",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852251100",
"telephone_number": "602-282-9940",
"fax_number": "480-323-2942"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITECARE,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-17",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A",
"authorized_official_last_name": "FORSYTH",
"authorized_official_first_name": "HAYLEY",
"authorized_official_title_or_position": "GENERAL PARTNER",
"authorized_official_telephone_number": "480-242-4884",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.