NPIMap

Organization Active NPI

Elites Care LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Greenbelt, MD
National Provider Identifier
1649700261
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
ELITES CARE LLC
Practice address
6305 Ivy LN Ste 230
Greenbelt, MD 20770-6314
Phone
(240) 825-3153
Fax
(240) 825-3154
NPI assigned
Jun 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Authorized official

Name
Awonti Thierry Etoo Ndjongo
Title
Chief Executive Officer
Phone
(240) 988-6871

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

6305 Ivy LN Ste 230
Greenbelt, MD 20770-6314

Mailing address

6305 Ivy LN Ste 230
Greenbelt, MD 20770-6314
Phone (240) 825-3153

Other practice location 1

6911 Richmond Hwy Ste 302
Alexandria, VA 22306-1846
Phone (703) 660-9101

Other practice location 2

420 Hudgins Rd Ste 105
Fredericksburg, VA 22408-4172
Phone (703) 660-9101

National Provider Directory

National Provider Directory
Tax ID family
Elites Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6305 Ivy Ln
Ste 230
Greenbelt, MD 20770
Phone (240) 825-3153

420 Hudgins Rd
Ste 105
Fredericksburg, VA 22408
Phone (703) 660-9101

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1649700261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 IVY LN STE 230",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207706314",
            "telephone_number": "240-825-3153",
            "fax_number": "240-825-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 IVY LN STE 230",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207706314",
            "telephone_number": "240-825-3153",
            "fax_number": "240-825-3154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6911 Richmond Hwy Ste 302",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223061846",
            "country_code": "US",
            "telephone_number": "703-660-9101",
            "fax_number": "703-660-9764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 Hudgins Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224084172",
            "country_code": "US",
            "telephone_number": "703-660-9101",
            "fax_number": "703-660-9764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITES CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "ETOO NDJONGO",
        "authorized_official_first_name": "AWONTI",
        "authorized_official_middle_name": "THIERRY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "240-988-6871"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.