Elite Professinal Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ELITE PROFESSINAL SERVICES, LLC

Practice address

119 E Water St
Plymouth, NC 27962-1300

Phone

(252) 793-9991

Fax

(252) 793-9991

NPI assigned

Sep 8, 2008

Last updated

Sep 8, 2008By 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

Ms. Devita Renae Phelps

Title

Ceo

Phone

(252) 793-9991

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1962650507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 E WATER ST",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279621300",
            "telephone_number": "252-793-9991",
            "fax_number": "252-793-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E WATER ST",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279621300",
            "telephone_number": "252-793-9991",
            "fax_number": "252-793-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PROFESSINAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "DEVITA",
        "authorized_official_middle_name": "RENAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-793-9991",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.