Elite Innovations, LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

ELITE INNOVATIONS, LLC

Doing business as

Stellar Transport

Practice address

3630 Havendale Blvd NW
Winter Haven, FL 33881-1063

Phone

(863) 999-9998

Fax

(863) 999-9998

NPI assigned

Mar 2, 2018

Organization subpart

No

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

Authorized official

Name

Christian D Petersen

Title

Ceo

Phone

(863) 999-9998

Specialties & licenses 2

Addresses

Other names 1

• Stellar Transport Doing business as

Locations

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1700388048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6039 CYPRESS GARDENS BLVD STE 533",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338844115",
            "telephone_number": "863-999-9998",
            "fax_number": "863-999-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 HAVENDALE BLVD NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338811063",
            "telephone_number": "863-999-9998",
            "fax_number": "863-999-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE INNOVATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-02",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "863-999-9998"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stellar Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ela M. Torres-Moore, D.M.D. P.a.
• Mohammad A Eldeeb, MD
• Tamer M Elfallal, NURSE PRACTITIONER
• Michelle Renee Elie, ARNP
• Elite Health - Winter Haven LLC
• Julie Deanna Elliott, ARNP
• Cynthia L. Elmore, LMHC
• Dana P Elmore, RPH
• Moustafa Elsebey, MD
• Amber Elswick, RMHCI, NCC

• Non-emergency Medical Transport (VAN) in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Non-emergency Medical Transport (VAN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.