Organization Active NPI

Elite DSS Incorporated

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Wooster, OH
National Provider Identifier
1891398509
Registry record updated Jul 29, 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 DSS INCORPORATED
Practice address
4974 Cleveland Rd
Wooster, OH 44691-1162
Phone
(330) 317-9983
NPI assigned
Nov 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Authorized official

Name
Kady JenkinsNPI 1316645930
Title
Director
Phone
(330) 317-9983

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4974 Cleveland Rd
Wooster, OH 44691-1162

Mailing address

PO Box 15
Wooster, OH 44691-0015
Phone (330) 317-9983

Other identifiers 1

IdentifierTypeStateIssuer
0194686MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1891398509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446910015",
            "telephone_number": "330-317-9983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4974 CLEVELAND RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911162",
            "telephone_number": "330-317-9983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DSS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "KADY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "330-317-9983"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0194686",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.