NPIMap

Organization Active NPI

Elite Care Inc

  • Community/Behavioral Health Agency
  • Williamston, NC
National Provider Identifier
1992085963
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ELITE CARE INC
Practice address
132 W Main St
Williamston, NC 27892-2472
Phone
(252) 792-7812
NPI assigned
Aug 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Authorized official

Name
Miss Demetrice Yvonne WilsonNPI 1700120409
Title
QM/Training Director
Phone
(252) 792-7812

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

132 W Main St
Williamston, NC 27892-2472

Mailing address

3836 Abby Lynn Dr
Greenville, NC 27858-7315
Phone (252) 792-7812

Other identifiers 3

IdentifierTypeStateIssuer
6602160MedicaidNC
8301818MedicaidNC
8303113MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Elite Care Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1992085963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3836 ABBY LYNN DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278587315",
            "telephone_number": "252-792-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 W MAIN ST",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278922472",
            "telephone_number": "252-792-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DEMETRICE",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "QM/TRAINING DIRECTOR",
        "authorized_official_telephone_number": "252-792-7812",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6602160",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301818",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303113",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; 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.