Elite Champions Adult Day Center

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

ELITE CHAMPIONS ADULT DAY CENTER

Practice address

3106 Deerhollow Dr
Mesquite, TX 75181-3664

Phone

(469) 693-2878

NPI assigned

Oct 28, 2019

Last updated

Dec 20, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dorene Oshowole

Title

Owner/Operations Manager

Phone

(469) 693-2878

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576800000000",
    "number": "1891338364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 DEERHOLLOW DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751813664",
            "telephone_number": "469-693-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 DEERHOLLOW DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751813664",
            "telephone_number": "469-693-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CHAMPIONS ADULT DAY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A",
        "authorized_official_last_name": "OSHOWOLE",
        "authorized_official_first_name": "DORENE",
        "authorized_official_title_or_position": "OWNER/OPERATIONS MANAGER",
        "authorized_official_telephone_number": "469-693-2878"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Adult Day Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.