Elite Indigo

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ELITE INDIGO

Practice address

310 Seminole Cir
Terry, MS 39170-8787

Phone

(432) 978-6035

NPI assigned

Jun 25, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Javarion Terrell Nix, MS,LPN-IVT, DCP

Title

Ceo/Director

Phone

(432) 978-6035

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1972120954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 SEMINOLE CIR",
            "city": "TERRY",
            "state": "MS",
            "postal_code": "391708787",
            "telephone_number": "432-978-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 SEMINOLE CIR",
            "city": "TERRY",
            "state": "MS",
            "postal_code": "391708787",
            "telephone_number": "432-978-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE INDIGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "NIX",
        "authorized_official_first_name": "JAVARION",
        "authorized_official_middle_name": "TERRELL",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "432-978-6035",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS,LPN-IVT, DCP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Terry, MS
• Providers in Terry, MS by specialty
• Home Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.