Organization Active NPI

Elite Health Care, Inc.

  • Home Health Agency
  • Beckley, WV
National Provider Identifier
1902029515
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ELITE HEALTH CARE, INC.
Practice address
1832 Harper Rd
Beckley, WV 25801-3366
Phone
(304) 256-0070
Fax
(304) 256-3703
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mark Kenneth Smith
Title
Administrator
Phone
(304) 776-5683

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X WV Primary

Addresses

Primary practice location

1832 Harper Rd
Beckley, WV 25801-3366

Mailing address

7 Fairland CT
Nitro, WV 25143-1118
Phone (304) 776-5683

Other identifiers 1

IdentifierTypeStateIssuer
0004539000MedicaidWV

Other names 1

  • Elite Home Health Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902029515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 FAIRLAND CT",
            "city": "NITRO",
            "state": "WV",
            "postal_code": "251431118",
            "telephone_number": "304-776-5683",
            "fax_number": "304-776-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013366",
            "telephone_number": "304-256-0070",
            "fax_number": "304-256-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "304-776-5683",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004539000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Home Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.