Organization Active NPI

Elitecare Home Care Agency LLC

  • Home Health Agency
  • Glendale, WI
National Provider Identifier
1902289184
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ELITECARE HOME CARE AGENCY LLC
Practice address
500 W Silver Spring Dr. Suite K -200
Glendale, WI 53217-2564
Phone
(262) 515-5970
NPI assigned
Jul 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Authorized official

Name
Lasonia Smith
Title
Owner
Phone
(262) 515-5970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

500 W Silver Spring Dr. Suite K -200
Glendale, WI 53217-2564

Mailing address

901 W Winnebago St Apt 314
Milwaukee, WI 53205-2564
Phone (262) 515-5970

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1902289184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W WINNEBAGO ST APT 314",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532052564",
            "telephone_number": "262-515-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W SILVER SPRING DR. SUITE K -200",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532172564",
            "telephone_number": "262-515-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITECARE HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LASONIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-515-5970"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.