Elite Care Wellness LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

ELITE CARE WELLNESS LLC

Practice address

4040 E McDowell Rd Ste 418
Phoenix, AZ 85008-4448

Phone

(818) 429-6550

NPI assigned

Jul 18, 2023

Last updated

Jul 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Moitalel Munka, DIRECTOR

Title

Owner

Phone

(818) 429-6550

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Tax ID family

Elite Care Wellness LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Elite Care Wellness LLC

  • Adult Mental Health Clinic/Center
  • Phoenix, AZ
  • NPI 1396542353
  NPD tax ID

Locations

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.

• Mercy Warigia Mwangi, ED D BH

  • Professional Counselor
  • Glendale, AZ
  • NPI 1497360895
  Medicare reassignment NPD

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1760162481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3826 S 65TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850430133",
            "telephone_number": "174-735-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 E MCDOWELL RD STE 418",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084448",
            "telephone_number": "818-429-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "MUNKA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "MOITALEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-429-6550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Eliason, MD
• Itoro Elijah
• Mouhanned Eliliwi, MD
• Elite Anesthesia Services PLLC
• Elite Care Wellness LLC
• Elite Clinical Studies, LLC
• Elite Dental Group, LLC
• Elite ENT
• Elite Foot and Ankle Surgical Specialists
• Elite Holistic Care, LLC

• Health Service Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Health Service Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.