Elite Home Healthcare

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

ELITE HOME HEALTHCARE

Practice address

5747 W Broadway Ave
201
Crystal, MN 55428-3549

Phone

(612) 223-3345

NPI assigned

Mar 3, 2016

Last updated

Mar 3, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chloe Gabrielle Payne

Title

Ceo

Phone

(612) 223-3345

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1528428489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5747 W BROADWAY AVE",
            "address_2": "201",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554283549",
            "telephone_number": "612-223-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5747 W BROADWAY AVE",
            "address_2": "201",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554283549",
            "telephone_number": "612-223-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "CHLOE",
        "authorized_official_middle_name": "GABRIELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-223-3345"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Crystal, MN
• Providers in Crystal, MN by specialty
• Health Maintenance Organization in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.