Organization Active NPI

Elite Home Support Service LLC

  • Adult Companion
  • Charlotte, NC
National Provider Identifier
1710804471
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
Legal business name
ELITE HOME SUPPORT SERVICE LLC
Practice address
300 E 36TH St
Charlotte, NC 28206-2298
Phone
(989) 890-1086
NPI assigned
Jul 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Authorized official

Name
Antuan Deon DavisNPI 1932018470
Title
Owner and Director
Phone
(989) 890-1086

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult CompanionGroup: 193400000X SINGLE SPECIALTY GROUP 372600000X Primary

Addresses

Primary practice location

300 E 36TH St
Charlotte, NC 28206-2298

Mailing address

300 E 36TH St
Charlotte, NC 28206-2298
Phone (989) 890-1086

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1782950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1710804471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E 36TH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282062298",
            "telephone_number": "989-890-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 36TH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282062298",
            "telephone_number": "989-890-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HOME SUPPORT SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-02",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ANTUAN",
        "authorized_official_middle_name": "DEON",
        "authorized_official_title_or_position": "OWNER AND DIRECTOR",
        "authorized_official_telephone_number": "989-890-1086"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; 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.