Organization Active NPI

Elite Health and Wellness Inc.

  • Community/Behavioral Health Agency
  • Durham, NC
National Provider Identifier
1720679632
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ELITE HEALTH AND WELLNESS INC.
Practice address
5317 Highgate Dr Ste 116
Durham, NC 27713-6622
Phone
(919) 251-9472
NPI assigned
Feb 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Authorized official

Name
Shakeema PriesterNPI 1841798584
Title
Director
Phone
(919) 225-9447

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Community/Behavioral Health Agency 251S00000X Primary
In Home Supportive Care Agency 253Z00000X
Respite Care 385H00000X

Addresses

Primary practice location

5317 Highgate Dr Ste 116
Durham, NC 27713-6622

Mailing address

3710 Shannon Rd # 51393
Durham, NC 27707-6327
Phone (919) 667-7707

Other identifiers 1

IdentifierTypeStateIssuer
1720679632MedicaidNC

Other names 1

  • Tash Necessities Other name

National Provider Directory

National Provider Directory

Locations

3710 Shannon Rd
#51393
Durham, NC 27707

5317 Highgate Dr
Ste 116
Durham, NC 27713
Phone (919) 251-9472

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": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1720679632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 SHANNON RD # 51393",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076327",
            "telephone_number": "919-667-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5317 HIGHGATE DR STE 116",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136622",
            "telephone_number": "919-251-9472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HEALTH AND WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2023-01-25",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "PRIESTER",
        "authorized_official_first_name": "SHAKEEMA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-225-9447"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720679632",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tash Necessities",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.