Elite Personal Care Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ELITE PERSONAL CARE INC.

Practice address

814 Carl Vinson Pkwy
Centerville, GA 31028-1421

Phone

(478) 922-6380

NPI assigned

Oct 15, 2014

Organization subpart

No

Locations

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

Authorized official

Name

Mrs. Anica G Hollar

Title

Administrator

Phone

(478) 922-6380

Specialties & licenses 1

Addresses

Other names 1

• Southern Heritage Doing business as

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1932503299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 CARL VINSON PKWY",
            "city": "CENTERVILLE",
            "state": "GA",
            "postal_code": "310281421",
            "telephone_number": "478-922-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 CARL VINSON PKWY",
            "city": "CENTERVILLE",
            "state": "GA",
            "postal_code": "310281421",
            "telephone_number": "478-922-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PERSONAL CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "HOLLAR",
        "authorized_official_first_name": "ANICA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "478-922-6380",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Heritage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Centerville, GA
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.