Organization Active NPI

Elite Quality Care Inc

  • In Home Supportive Care Agency
  • Miami, FL
National Provider Identifier
1477860336
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
229682 Issued in FL
Legal business name
ELITE QUALITY CARE INC
Practice address
11119 SW 147TH CT
Miami, FL 33196-3316
Phone
(305) 335-5115
Fax
(305) 385-3037
NPI assigned
Sep 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Authorized official

Name
Eldith Tuesta
Title
P
Phone
(305) 335-5115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 229682 FL Primary

Addresses

Primary practice location

11119 SW 147TH CT
Miami, FL 33196-3316

Mailing address

11119 SW 147TH CT
Miami, FL 33196-3316
Phone (305) 335-5115

Other identifiers 1

IdentifierTypeStateIssuer
001923300MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1477860336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11119 SW 147TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331963316",
            "telephone_number": "305-335-5115",
            "fax_number": "305-385-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11119 SW 147TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331963316",
            "telephone_number": "305-335-5115",
            "fax_number": "305-385-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE QUALITY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "TUESTA",
        "authorized_official_first_name": "ELDITH",
        "authorized_official_title_or_position": "P",
        "authorized_official_telephone_number": "305-335-5115"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "229682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001923300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.