Organization Active NPI

Elite Logicare Group

  • Non-emergency Medical Transport (VAN)
  • Fairfax, VA
National Provider Identifier
1831547769
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
469 Issued in VA
Legal business name
ELITE LOGICARE GROUP
Practice address
11325 Random Hills Rd
Suite 360
Fairfax, VA 22030-6051
Phone
(703) 225-3479
Fax
(703) 225-3333
NPI assigned
Jun 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Authorized official

Name
Mrs. Leoncine Ouayoro
Title
Cfo
Phone
(571) 276-1624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 469 VA Primary

Addresses

Primary practice location

11325 Random Hills Rd
Suite 360
Fairfax, VA 22030-6051

Mailing address

11325 Random Hills Rd
Suite 360
Fairfax, VA 22030-6051
Phone (703) 225-3479

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1831547769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11325 RANDOM HILLS RD",
            "address_2": "SUITE 360",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306051",
            "telephone_number": "703-225-3479",
            "fax_number": "703-225-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11325 RANDOM HILLS RD",
            "address_2": "SUITE 360",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306051",
            "telephone_number": "703-225-3479",
            "fax_number": "703-225-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE LOGICARE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "OUAYORO",
        "authorized_official_first_name": "LEONCINE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "571-276-1624",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "VA",
            "license": "469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.