Elite Access & Renovations, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

ELITE ACCESS & RENOVATIONS, LLC

Practice address

1335 Redwood Dr
Saint Clair, MO 63077-2018

Phone

(636) 358-3019

NPI assigned

Apr 3, 2024

Organization subpart

No

Name

Mr. Michael Shaun FisherNPI 1093586281

Title

Manager

Phone

(636) 358-3019

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

• Michael Shaun Fisher

  • Home Modifications Contractor
  • Saint Clair, MO
  • NPI 1093586281
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 3, 2024.

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1710739628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 REDWOOD DR",
            "city": "SAINT CLAIR",
            "state": "MO",
            "postal_code": "630772018",
            "telephone_number": "636-358-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 REDWOOD DR",
            "city": "SAINT CLAIR",
            "state": "MO",
            "postal_code": "630772018",
            "telephone_number": "636-358-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE ACCESS & RENOVATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SHAUN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "636-358-3019",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yunus Emre Demirhan, MD
• Dennis J. McCoy, D.D.S., P.C.
• Divine Spine Chiropractic, LLC
• Kamil Dostalik, PT
• Jessie A Elder, COTA/L
• Ashley Erickson, DPT
• Family Planning Clinic of Franklin Co
• Michael Shaun Fisher
• Jessica Freiberger
• Rose Anna Glastetter, DO

• All providers in Saint Clair, MO
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.