Elite Primary Care LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ELITE PRIMARY CARE LLC

Doing business as

Elite Orthotics & DME

Practice address

532 N Telshor Blvd Ste H
Las Cruces, NM 88011-8234

Phone

(575) 210-1495

Fax

(575) 221-9055

NPI assigned

Jul 30, 2024

Last updated

Jul 30, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

ELITE PRIMARY CARE LLCAs reported in NPPES

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

Authorized official

Name

Jaime Sanchez, CNP

Title

Ceo

Phone

(575) 993-9890

Specialties & licenses 3

Addresses

Other names 1

• ELITE ORTHOTICS & DME Doing business as

Part of

Elite Primary Care LLC

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael A Jaurequi, FNP-BC

  • Family Nurse Practitioner
  • Las Cruces, NM
  • NPI 1992217665
  NPD
• Jerrica Trujillo, PA

  • Physician Assistant
  • Las Cruces, NM
  • NPI 1407254303
  NPD

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1871322602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2845",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880042845",
            "telephone_number": "575-644-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 N TELSHOR BLVD STE H",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118234",
            "telephone_number": "575-210-1495",
            "fax_number": "575-221-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PRIMARY CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELITE PRIMARY CARE LLC",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "575-993-9890",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELITE ORTHOTICS & DME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elite Next Level Counseling LLC
• Elite Palliative Hospice Services LLC
• Elite Primary Care LLC (Elite Orthotics)
• Elite Primary Care LLC (Function)
• Elite Primary Care LLC
• Elite Primary Care, LLC (Elite Specialized Services)
• Elite Primary Care, LLC (Elite Methadone)
• Elite Specialized Services LLC
• Elite Wound Care & Orthotics, Inc
• Elite Wound Care & Orthotics, LLC

• Durable Medical Equipment & Medical Supplies in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Durable Medical Equipment & Medical Supplies in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.