Elite Elderly Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

12251 Issued in FL

Legal business name

ELITE ELDERLY CARE LLC

Practice address

15009 Lake Azure Dr
Orlando, FL 32824-4932

Phone

(407) 857-5063

Fax

(407) 286-6363

NPI assigned

Nov 8, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Sharda Sukhu-Gafoor, RN

Title

Administrator

Phone

(407) 857-5063

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1609120864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15009 LAKE AZURE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328244932",
            "telephone_number": "407-857-5063",
            "fax_number": "407-286-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15009 LAKE AZURE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328244932",
            "telephone_number": "407-857-5063",
            "fax_number": "407-286-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE ELDERLY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-08",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "SUKHU-GAFOOR",
        "authorized_official_first_name": "SHARDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-857-5063",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Orlando, FL
• Providers in Orlando, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.