Organization Active NPI

Elite Personal Care Group, Inc.

  • Mental Health Counselor
  • Savannah, GA
National Provider Identifier
1891538781
Registry record updated Feb 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ELITE PERSONAL CARE GROUP, INC.
Practice address
216 Lawton Ave
Savannah, GA 31404-1231
Phone
(912) 658-9125
NPI assigned
Jun 17, 2024
Last updated
Feb 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2025

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

Authorized official

Name
Dr. Terrance Keith Lucky II, PHD.CC.MHTNPI 1689470858
Title
Ceo
Phone
(912) 744-9276

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

216 Lawton Ave
Savannah, GA 31404-1231

Mailing address

216 Lawton Ave
Savannah, GA 31404-1231
Phone (912) 744-9276

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740268800000",
    "number": "1891538781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 LAWTON AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314041231",
            "telephone_number": "912-744-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 LAWTON AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314041231",
            "telephone_number": "912-658-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PERSONAL CARE GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2025-02-23",
        "certification_date": "2025-02-23",
        "status": "A",
        "authorized_official_last_name": "LUCKY",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-744-9276",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PHD.CC.MHT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.