Elgreat Healthcare Services LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ELGREAT HEALTHCARE SERVICES LLC

Practice address

2301 Hilliard Rd Ste 4
Henrico, VA 23228-4525

Phone

(804) 528-9752

Fax

(804) 409-8005

NPI assigned

Feb 16, 2022

Organization subpart

No

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

Authorized official

Name

Ifeoma Nkemdilim Jennifer Elebo, FNPNPI 1013492958

Title

Administrator

Phone

(804) 528-9752

Specialties & licenses 9

Addresses

Other names 1

• Elgreat Healthcare Center Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Tax ID family

Elgreat Healthcare Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Elgreat Healthcare Services LLC

  • Home Health Agency
  • Henrico, VA
  • NPI 1619561222
  NPD tax ID

Practitioners 3

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

• Ifeoma Nkemdilim Jennifer Elebo, DNP

  • Family Nurse Practitioner
  • Henrico, VA
  • NPI 1013492958
  Medicare reassignment NPD Authorized official
• Andrea L. Mayo, NP

  • Adult Health Nurse Practitioner
  • Henrico, VA
  • NPI 1033835467
  Medicare reassignment NPD
• Victor Toochukwu Nwagwu

  • Psychiatric/Mental Health Nurse Practitioner
  • Colonial Heights, VA
  • NPI 1215637863
  Medicare reassignment NPD

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1922753193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 HILLIARD RD STE 4",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232284525",
            "telephone_number": "804-528-9752",
            "fax_number": "804-409-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 HILLIARD RD STE 4",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232284525",
            "telephone_number": "804-528-9752",
            "fax_number": "804-409-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELGREAT HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "ELEBO",
        "authorized_official_first_name": "IFEOMA",
        "authorized_official_middle_name": "NKEMDILIM JENNIFER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "804-528-9752",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elgreat Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jordan Elam
• Ifeoma Nkemdilim Jennifer Elebo, DNP
• Elegant Home Care LLC.
• Elevate Home Health of Virginia LLC
• Elgreat Healthcare Services LLC
• Eli W. Robinson, D.D.S., P.L.C.
• Ahmed Raafat Elkharashi
• Ashley Penn Ellis-Johnson, FNP-C
• Crystal Monique Ellis, LPC
• Elm Behavioral Health

• Multi-Specialty Clinic/Center in Henrico, VA
• Providers in Henrico, VA by specialty
• Multi-Specialty Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.