Elite Care Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

001008162 Issued in TX

Legal business name

ELITE CARE INC.

Practice address

103 Killdeer CT
Southlake, TX 76092-5802

Phone

(817) 223-4638

Fax

(817) 488-9252

NPI assigned

Jun 12, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Tammie Wynell Richardson Hughes

Title

Ceo/Owner

Phone

(817) 454-0691

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513123200000",
    "number": "1639373988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11295",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761100295",
            "telephone_number": "817-454-0691",
            "fax_number": "817-507-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 KILLDEER CT",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925802",
            "telephone_number": "817-223-4638",
            "fax_number": "817-488-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2017-12-13",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON HUGHES",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_middle_name": "WYNELL",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "817-454-0691",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "TX",
            "license": "001008162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Southlake, TX
• Providers in Southlake, TX by specialty
• Developmentally Disabled Services Day Training Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.