Eliot Enterprises, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ELIOT ENTERPRISES, LLC

Practice address

371 Bethel Church Rd
Ligonier, PA 15658-2074

Phone

(724) 593-8547

Fax

(724) 593-7448

NPI assigned

Aug 19, 2010

Organization subpart

No

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

Authorized official

Name

Lance Queer, 7245938547

Title

President

Phone

(724) 593-8547

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1770899445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 BETHEL CHURCH RD",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "156582074",
            "telephone_number": "724-593-8547",
            "fax_number": "724-593-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 BETHEL CHURCH RD",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "156582074",
            "telephone_number": "724-593-8547",
            "fax_number": "724-593-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIOT ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "QUEER",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-593-8547",
        "authorized_official_credential": "7245938547"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.