Elite Care Service Inc.

LBN: Elite Care Service Inc.
Elite Care Service Inc. is an health care organization with primary practice located at 111 Lamon St Suite 100, Fayetteville NC 28301-4901. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Agencies / Community/Behavioral Health is the primary health care specialty. Elite Care Service Inc. can be contacted via phone (910) 483-0324, or through Frederick, James via phone (732) 674-5748.

Contact Information

Primary practice address
111 Lamon St Suite 100 Fayetteville NC 28301-4901
Phone: (910) 483-0324
Fax: (910) 483-2246
Website:
Map and Directions
Authorized official contact:
Name: Frederick, James
Phone: (732) 674-5748

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Agencies / Community/Behavioral Health 251S00000X North Carolina
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X MHL-026-857 North Carolina

Profile Details

NPI number 1417135500
LBN Legal business name Elite Care Service Inc.
DBA Doing business as
Authorized official Frederick, James
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2008
Last updated Jun 10th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417135500 NPPES
North Carolina MEDICAID 00112912

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