Organization Active NPI

Elite Health Care and Wellness Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1659085413
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ELITE HEALTH CARE AND WELLNESS SERVICES
Practice address
345-347 W 27TH Avenue
Fort-Lauderdale, FL 33312
Phone
(561) 674-2881
NPI assigned
Jan 6, 2023
Last updated
Oct 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Authorized official

Name
Dr. Flore Jesuca, NPNPI 1023258928
Title
Owner
Phone
(561) 674-2881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X

Addresses

Primary practice location

345-347 W 27TH Avenue
Fort-Lauderdale, FL 33312

Mailing address

8736 Escondido Way E
Boca Raton, FL 33433-2511
Phone (561) 674-2881

Other names 1

  • Elite Health Care and Wellness Services Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230512001521 FL Part B Supplier - Clinic/Group Practice 8729444914 Receives reassigned benefits from 1 practitioner
Practice locations: Ft Lauderdale, FL

National Provider Directory

National Provider Directory

Locations

345 SW 27th Ave
Ste 347
Ft Lauderdale, FL 33312
Phone (954) 304-9770

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1659085413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8736 ESCONDIDO WAY E",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332511",
            "telephone_number": "561-674-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345-347 W 27TH AVENUE",
            "city": "FORT-LAUDERDALE",
            "state": "FL",
            "postal_code": "33312",
            "telephone_number": "561-674-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HEALTH CARE AND WELLNESS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-06",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "JESUCA",
        "authorized_official_first_name": "FLORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-674-2881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Health Care and Wellness Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Elite Health Care and Wellness Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.