Active NPI
Elite Health Services, LLC
- In Home Supportive Care Agency
- Stockbridge, GA
National Provider Identifier
1669277372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- ELITE HEALTH SERVICES, LLC
- Practice address
- 248 Ironwood Dr
Stockbridge, GA 30281-2286 - Phone
- (404) 709-1913
- NPI assigned
- Feb 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Chadwick Wade Deporris Wade, RRT, MBA, MHA
- Title
- Ceo/President
- Phone
- (404) 709-1913
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
248 Ironwood Dr
Stockbridge, GA 30281-2286
Mailing address
248 Ironwood Dr
Stockbridge, GA 30281-2286
Phone (404) 709-1913
Other names 1
- Seniors Helping Seniors Southeast Atlanta
National Provider Directory
National Provider Directory- Tax ID family
- Elite Health Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Stockbridge, GA
- NPI 1538023858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739750400000",
"number": "1669277372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "248 IRONWOOD DR",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302812286",
"telephone_number": "404-709-1913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "248 IRONWOOD DR",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302812286",
"telephone_number": "404-709-1913"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE HEALTH SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-17",
"last_updated": "2025-02-17",
"certification_date": "2025-02-17",
"status": "A",
"authorized_official_last_name": "WADE",
"authorized_official_first_name": "CHADWICK WADE",
"authorized_official_middle_name": "DEPORRIS",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "404-709-1913",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RRT, MBA, MHA"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Seniors Helping Seniors Southeast Atlanta",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.