Elite Care Service Inc., NPI 1417135500
Community/Behavioral Health Agency in Fayetteville, NC, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1417135500 |
| NPI Entity Type | Organization |
| Provider Name | Elite Care Service Inc. |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 111 Lamon St, Suite 100, Fayetteville, NC, US |
| Provider Mailing Address | Po Box 9525, Fayetteville, NC, US, 283119088 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Kevin Coaxum |
| Official Position | CEO |
| Phone | 910-483-0324 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Community/Behavioral Health Agency |
| Classification | |
| Group | |
| License State | NC |
| Description | A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No | |||||
| No | |||||
| No | |||||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
No | ||||
Community Based Residential Treatment Facility, Mental Illness |
MHL-026-857 | NC | No |
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| NPI | Name | Taxonomy | Address |
|---|---|---|---|
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DO Evelyn Elizabeth Murray Individual |
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MR. LCAS, LCSW Michael Anthony Brown Individual |
100 Eastowne Dr |
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MSW Erika Paulyne Branch Individual |
2231 E Millbrook Rd Ste 101 |
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MOT, OTR/L Georgia Brooke Thigpen Individual |
160 N Nc 241 Hwy |
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Connie J Albritton Individual |
2375 Vineyard Dr Apt H6 |
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M.ED. Byron Turner Individual |
1621 Timber Wolf Dr |
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PT Leslie Michelle Murray Mullins Individual |
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