Elite Care Services LLC

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Legal business name

ELITE CARE SERVICES LLC

Practice address

14649 230TH St
Springfield Gardens, NY 11413-4423

Phone

(718) 200-9384

NPI assigned

Feb 27, 2023

Organization subpart

No

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

Authorized official

Name

Shannon Sedonia Butler-StewartNPI 1942744396

Title

Owner

Phone

(718) 722-1451

Specialties & licenses 1

Addresses

Other names 1

• Elite Care Services LLC Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Butler-Stewart

  • Licensed Practical Nurse
  • Jamaica, NY
  • NPI 1942744396
  NPD Authorized official

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1710686811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14649 230TH ST",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114134423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14649 230TH ST",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114134423",
            "telephone_number": "718-200-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "BUTLER-STEWART",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "SEDONIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-722-1451"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Care Services LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Edwards Mentoring and Social Services, LMSW, P.L.L.C.
• Arlene Ann-Marie Edwards, RN
• Larry Edwards, LMSW
• Perpetua Egeruoh
• Chikamunario Joy Ekeke
• Sashane Ruth Ann Ellis, LPN
• Godswill Emenike
• Megan Evans, LMSW
• Margaret Evelyn-Moe
• Sequoya D Fahie

• Licensed Practical Nurse in Springfield Gardens, NY
• Providers in Springfield Gardens, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.