NPIMap

Organization Active NPI

Elite Community Health, LLC

  • Clinical Social Worker
  • Gastonia, NC
National Provider Identifier
1891955381
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C002515 Issued in NC
Legal business name
ELITE COMMUNITY HEALTH, LLC
Practice address
2409 E Ozark Ave
Gastonia, NC 28054-1421
Phone
(704) 864-9668
NPI assigned
Jun 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2008

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

Authorized official

Name
Joshua Steele
Title
Executive Director
Phone
(704) 674-4129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C002515 NC Primary

Addresses

Primary practice location

2409 E Ozark Ave
Gastonia, NC 28054-1421

Mailing address

2212 Union Rd
Suite 700, PMB 507
Gastonia, NC 28054-3700
Phone (704) 864-9668

Other identifiers 1

IdentifierTypeStateIssuer
6006418MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1891955381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 UNION RD",
            "address_2": "SUITE 700, PMB 507",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543700",
            "telephone_number": "704-864-9668",
            "fax_number": "704-864-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 E OZARK AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541421",
            "telephone_number": "704-864-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE COMMUNITY HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-674-4129"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C002515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006418",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.