Active NPI
Elite Health and Wellness Inc.
- Community/Behavioral Health Agency
- Durham, NC
National Provider Identifier
1720679632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shakeema Priester
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720679632 | Medicaid | NC |
Other names 1
- Tash Necessities
National Provider Directory
National Provider DirectoryLocations
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.
-
- Mental Health Counselor
- Durham, NC
- NPI 1841798584
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.