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ELITE HOME CARE NPI 1346691102


NPI Information

NPI: 1346691102
Provider Name: ELITE HOME CARE

Doing Business As: ELITE DAY CENTER OF SPARTANBURG

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
2000 BUD ARTHUR BRIDGE RD
SPARTANBURG, SC
ZIP 29307
Phone: (864) 642-1916
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ELITE HOME CARE is an adult day care clinic center in Spartanburg, SC. ELITE HOME CARE NPI is 1346691102. The provider is registered as an organization entity type.
The provider Is Doing Business As Elite Day Center Of Spartanburg.

The provider's business location address is:

2000 BUD ARTHUR BRIDGE RD
SPARTANBURG, SC
ZIP 29307-417
Phone: (864) 642-1916
Fax: (704) 919-5011

The provider's authorized official is Gwen Painter .
The authorized official title is Administrator and has the following contact phone number (864) 529-9849.

The enumeration date for this NPI number is 6/23/2016 and was last updated on 9/19/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1253Z00000XIn Home Supportive CareNo
2261QA0600XClinic/CenterAdult Day CareNo
3261QA0600XClinic/CenterAdult Day CareADC-0406SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1EN0858MEDICAIDSOUTH CAROLINA
2EX2036MEDICAIDSOUTH CAROLINA
3EX1507MEDICAIDSOUTH CAROLINA
4EN1492MEDICAIDSOUTH CAROLINA
5EX1716MEDICAIDSOUTH CAROLINA
6EX1827MEDICAIDSOUTH CAROLINA
7EN1788MEDICAIDSOUTH CAROLINA
8EY1008MEDICAIDSOUTH CAROLINA
9EX1828MEDICAIDSOUTH CAROLINA
10EX0533MEDICAIDSOUTH CAROLINA
11EY1000MEDICAIDSOUTH CAROLINA
12EX1348MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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