Elite Caregiver LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ELITE CAREGIVER LLC

Practice address

18126 Sonora Brook LN
Richmond, TX 77407-1808

Phone

(832) 757-7149

NPI assigned

Jun 13, 2020

Organization subpart

No

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

Authorized official

Name

Abdulmateen Adelaja

Title

Member Manager

Phone

(832) 745-7908

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1592006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592006400000",
    "number": "1821613076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18126 SONORA BROOK LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774071808",
            "telephone_number": "832-757-7149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18126 SONORA BROOK LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774071808",
            "telephone_number": "832-757-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CAREGIVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-13",
        "last_updated": "2020-06-13",
        "certification_date": "2020-06-13",
        "status": "A",
        "authorized_official_last_name": "ADELAJA",
        "authorized_official_first_name": "ABDULMATEEN",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "832-745-7908"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "521853602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Richmond, TX
• Providers in Richmond, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2020; 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.