Active NPI
Elite Care Management, LLC
- Nursing Care Agency
- Merrillville, IN
National Provider Identifier
1760198378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- ELITE CARE MANAGEMENT, LLC
- Practice address
- 250 W 80TH PL
Merrillville, IN 46410-5430 - Phone
- (219) 648-2125
- Fax
- (219) 472-8468
- NPI assigned
- Jan 26, 2023
- 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
- John Mastrangeli
- Title
- Member
- Phone
- (630) 505-3623
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | Primary |
Addresses
Primary practice location
250 W 80TH PL
Merrillville, IN 46410-5430
Mailing address
250 W 80TH PL
Merrillville, IN 46410-5430
Phone (219) 648-2125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230818000804 | IN | Part A Provider - Home Health Agency | 0648632943 | Practice locations: Merrillville, IN |
Home health agency certification: CCN 157740
- Legal name
- ELITE CARE MANAGEMENT LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 2, 2025
- Last certification
- May 8, 2025
- Organization structure
- LLC
- Enrollment address
- 250 W 80TH PL
Merrillville, IN 46410-5430
National Provider Directory
National Provider DirectoryLocations
250 W 80th Pl
Merrillville, IN 46410
Phone (219) 648-2125
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| John Mastrangeli | 5% Or Greater Direct Ownership Interest | Feb 15, 2023 | 39% |
| Sarah Martinez | 5% Or Greater Direct Ownership Interest | Feb 15, 2023 | 11% |
| Corporate Officer | Feb 15, 2023 | 11% | |
| W-2 Managing Employee | Feb 15, 2023 | 11% | |
| David McCarty | 5% Or Greater Direct Ownership Interest | Feb 15, 2023 | 11% |
| Corporate Officer | Feb 15, 2023 | 11% | |
| Philip Marrone | 5% Or Greater Direct Ownership Interest | Feb 15, 2023 | 39% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674691200000",
"number": "1760198378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 W 80TH PL",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464105430",
"telephone_number": "219-648-2125",
"fax_number": "219-472-8468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 W 80TH PL",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464105430",
"telephone_number": "219-648-2125",
"fax_number": "219-472-8468"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE CARE MANAGEMENT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-26",
"last_updated": "2023-01-26",
"certification_date": "2023-01-26",
"status": "A",
"authorized_official_last_name": "MASTRANGELI",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "630-505-3623"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.