Organization Active NPI

Elite Management & Technologies Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Palm Bay, FL
National Provider Identifier
1851287130
Registry record updated Jun 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
ELITE MANAGEMENT & TECHNOLOGIES INC
Practice address
160 Dailey St SE
Palm Bay, FL 32909-8916
Phone
(440) 662-9485
NPI assigned
Jun 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2025

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

Authorized official

Name
Mr. Walno Mike Dupont
Title
Ceo
Phone
(440) 662-9485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

160 Dailey St SE
Palm Bay, FL 32909-8916

Mailing address

1860 SW Fountainview Blvd # 1019
Port St Lucie, FL 34986-4535
Phone (888) 680-0941

National Provider Directory

National Provider Directory

Locations

1860 SW Fountainview Blvd
#1019
Port St Lucie, FL 34986

NPI Registry JSON

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

{
    "created_epoch": "1749859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749859200000",
    "number": "1851287130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 SW FOUNTAINVIEW BLVD # 1019",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349864535",
            "telephone_number": "888-680-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 DAILEY ST SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329098916",
            "telephone_number": "440-662-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MANAGEMENT & TECHNOLOGIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-14",
        "last_updated": "2025-06-14",
        "certification_date": "2025-06-14",
        "status": "A",
        "authorized_official_last_name": "DUPONT",
        "authorized_official_first_name": "WALNO",
        "authorized_official_middle_name": "MIKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "440-662-9485",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2025; 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.