Elite Residential Care, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

ELITE RESIDENTIAL CARE, LLC

Practice address

1321 Murfreesboro Pike Ste 541
Nashville, TN 37217-2643

Phone

(615) 430-0411

Fax

(615) 503-8744

NPI assigned

Sep 8, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Benton-Freeman

Title

Ceo

Phone

(615) 430-0411

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1619646148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 MURFREESBORO PIKE STE 541",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372172643",
            "telephone_number": "615-430-0411",
            "fax_number": "615-503-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 MURFREESBORO PIKE STE 541",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372172643",
            "telephone_number": "615-430-0411",
            "fax_number": "615-503-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE RESIDENTIAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "BENTON-FREEMAN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-430-0411",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise Scott MD PLLC
• Elite Adult Day and Wellness Center, Inc
• Elite Endodontics PLLC
• Elite Eyecare
• Elite Personal Services
• Elite Residential Services, LLC
• Elite Sports Medicine and Orthopaedic Center, PLC
• Elite Sports Medicine and Orthopaedic Center, PLC
• Elite Sports Medicine and Orthopaedic Center, PLC
• Elite Sports Medicine and Orthopaedic Center, PLC

• Developmentally Disabled Services Day Training Agency in Nashville, TN
• Providers in Nashville, TN by specialty
• Developmentally Disabled Services Day Training Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.