Elite Speech Pathology, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

SLP4118 Issued in AZ

Legal business name

ELITE SPEECH PATHOLOGY, LLC

Practice address

1806 W Pampa Ave
Mesa, AZ 85202-8013

Phone

(480) 612-7362

Fax

(480) 393-3670

NPI assigned

Sep 20, 2008

Organization subpart

No

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

Authorized official

Name

Tracy Ann Contreras, M.S. CCC SLP

Title

Owner/Ceo

Phone

(480) 612-7362

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1221868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221868800000",
    "number": "1679723191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 W PAMPA AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852028013",
            "telephone_number": "480-612-7362",
            "fax_number": "480-393-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 W PAMPA AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852028013",
            "telephone_number": "480-612-7362",
            "fax_number": "480-393-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SPEECH PATHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-20",
        "last_updated": "2008-09-20",
        "status": "A",
        "authorized_official_last_name": "CONTRERAS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "480-612-7362",
        "authorized_official_credential": "M.S. CCC SLP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "SLP4118",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "AZ",
            "license": "SLP4118",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Elijah
• Elite Homecare Consulting LLC
• Elite Optical, LLC
• Elite Pain and Spine Institute PLC
• Elite Pain and Spine Institute PLC
• Elite Surgical Center, LLC
• Elite Training Solutions LLC
• Robert Elk, M.D.
• Maged Elkhouly, M.D.
• Matthew Leonard Ellefson

• Home Health Agency in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2008; 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.