NPIMap

Organization Active NPI

Elite Community Health, LLC

  • Psychiatry Physician
  • Gastonia, NC
National Provider Identifier
1659603769
Registry record updated Apr 16, 2010
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Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ELITE COMMUNITY HEALTH, LLC
Practice address
2409 E Ozark Ave
Gastonia, NC 28054-1421
Phone
(704) 864-9668
NPI assigned
Feb 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2010

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

Authorized official

Name
Joshua Steele
Title
Owner
Phone
(704) 864-9668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2409 E Ozark Ave
Gastonia, NC 28054-1421

Mailing address

2212 Union Rd
Suite 700 PMB 507
Gastonia, NC 28054-3700

Other identifiers 1

IdentifierTypeStateIssuer
5913523MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Elite Community Health LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271376000000",
    "number": "1659603769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 UNION RD",
            "address_2": "SUITE 700 PMB 507",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 E OZARK AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541421",
            "telephone_number": "704-864-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE COMMUNITY HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-04-16",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-864-9668"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5913523",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; 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.