Organization Active NPI

Elite Medical Inc

  • Durable Medical Equipment & Medical Supplies
  • Tacoma, WA
National Provider Identifier
1720555808
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ELITE MEDICAL INC
Practice address
6002 Westgate Blvd Ste 272
Tacoma, WA 98406-2571
Phone
(206) 234-6182
Fax
(253) 383-8386
NPI assigned
Oct 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
Ms. Dani Mari Englehart
Title
Office Manager
Phone
(509) 325-1977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

6002 Westgate Blvd Ste 272
Tacoma, WA 98406-2571

Mailing address

6002 Westgate Blvd Ste 272
Tacoma, WA 98406-2571
Phone (206) 234-6182

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.

NPI Registry JSON

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1720555808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6002 WESTGATE BLVD STE 272",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062571",
            "telephone_number": "206-234-6182",
            "fax_number": "253-383-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6002 WESTGATE BLVD STE 272",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062571",
            "telephone_number": "206-234-6182",
            "fax_number": "253-383-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-26",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "ENGLEHART",
        "authorized_official_first_name": "DANI",
        "authorized_official_middle_name": "MARI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-325-1977",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.