Elite Personal Services Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

ELITE PERSONAL SERVICES INC

Practice address

18020 Ohara Dr
Port Charlotte, FL 33948-9568

Phone

(941) 740-1460

Fax

(941) 627-3402

NPI assigned

Dec 15, 2010

Last updated

Dec 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tracey L Williams

Title

President

Phone

(941) 740-1460

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1952604852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380923",
            "city": "MURDOCK",
            "state": "FL",
            "postal_code": "339380923",
            "telephone_number": "940-740-1460",
            "fax_number": "941-627-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18020 OHARA DR",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339489568",
            "telephone_number": "941-740-1460",
            "fax_number": "941-627-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PERSONAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-740-1460"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690968098",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690968096",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Egerson, OTR/L, CLT
• Lisa Gaye Eggers, NBC-HAS
• Ehra Medical Services of Florida LLC
• Kareem Riad Mostafa Eid, M.D.
• Elias R Quintos MD PA
• Elite Physical Therapy & Rehab, Inc.
• Elizabeth a Triana MD PA
• Ellie's World Ppec, LLC
• Joycelyn Ellis, NP
• Melissa Eltringham, RDH

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.