Elite Healthcare Agency Inc.

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

ELITE HEALTHCARE AGENCY INC.

Practice address

981 Autumn Pines Dr
Orange Park, FL 32065-2688

Phone

(904) 333-2429

NPI assigned

Feb 16, 2018

Organization subpart

No

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

Authorized official

Name

Aleigha Williams

Title

Owner/ Director

Phone

(904) 333-2429

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1851891899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 AUTUMN PINES DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320652688",
            "telephone_number": "904-333-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 AUTUMN PINES DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320652688",
            "telephone_number": "904-333-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HEALTHCARE AGENCY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ALEIGHA",
        "authorized_official_title_or_position": "OWNER/ DIRECTOR",
        "authorized_official_telephone_number": "904-333-2429"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Eggiman, DO
• Kari Demaris Eicens, COTA
• Pedro Arthur Eisenreich, MD
• Eva Eliassen, MD
• Elite Care Plus,LLC
• Elite Imaging LLC
• Elite Jay Comfort Home Care, LLC
• Elite Multiservice Center LLC
• Thomas Elledge Jr., PTA
• Mariah Ellery

• Developmental Disabilities Clinic/Center in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

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