Elite Care Psa LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ELITE CARE PSA LLC

Practice address

250 W 80TH PL
Merrillville, IN 46410-5430

Phone

(219) 648-2125

Fax

(219) 472-8468

NPI assigned

Jan 8, 2021

Organization subpart

No

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

Authorized official

Name

John Mastrangeli

Title

Officer

Phone

(630) 505-3623

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1851989420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 S WASHINGTON ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406843",
            "telephone_number": "630-548-9500",
            "fax_number": "630-548-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W 80TH PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105430",
            "telephone_number": "219-648-2125",
            "fax_number": "219-472-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARE PSA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "MASTRANGELI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "630-505-3623"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Merrillville, IN
• Providers in Merrillville, IN by specialty
• In Home Supportive Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.