Organization Active NPI

Elite Care LLC

  • In Home Supportive Care Agency
  • Sumter, SC
National Provider Identifier
1649847013
Registry record updated Jun 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ELITE CARE LLC
Practice address
1713 Trevino Dr
Sumter, SC 29154-7706
Phone
(803) 236-2685
NPI assigned
Jun 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2021

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

Authorized official

Name
Iesha Tindal
Title
Owner
Phone
(803) 236-2685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1713 Trevino Dr
Sumter, SC 29154-7706

Mailing address

1713 Trevino Dr
Sumter, SC 29154-7706
Phone (803) 236-2685

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1622851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622851200000",
    "number": "1649847013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 TREVINO DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291547706",
            "telephone_number": "803-236-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 TREVINO DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291547706",
            "telephone_number": "803-236-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-05",
        "last_updated": "2021-06-05",
        "certification_date": "2021-06-05",
        "status": "A",
        "authorized_official_last_name": "TINDAL",
        "authorized_official_first_name": "IESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-236-2685"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.