Elite Prime Life

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Legal business name

ELITE PRIME LIFE

Practice address

5700 Tennyson Pkwy Ste 300
Plano, TX 75024-3595

Phone

(424) 346-2474

NPI assigned

Apr 12, 2021

Last updated

Apr 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jarvitz Richmond

Title

Coo

Phone

(424) 346-2474

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1689254773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 TENNYSON PKWY STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243595",
            "telephone_number": "424-346-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 TENNYSON PKWY STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243595",
            "telephone_number": "424-346-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PRIME LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "RICHMOND",
        "authorized_official_first_name": "JARVITZ",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "424-346-2474"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Philip Elfenbein
• Ramy Baher Elhalwagi, DO
• Christopher Edmond Elias, DO
• Elite Care Internal Medicine PLLC
• Elite Imaging Center, LLC
• Elite Spine Assist, PLLC
• Elite Surgery Center
• Elizabeth Eversull MD
• Elizabeth Kerner, M.D., P.a.
• Mark Elizondo, LCSW

• Secured Medical Transport (VAN) in Plano, TX
• Providers in Plano, TX by specialty
• Secured Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.