ELITE GROUP SERVICES INC. NPI 1508610767

NPI Information

  • NPI: 1508610767
  • Provider Name: ELITE GROUP SERVICES, INC.
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • CLIA Number: 34D2299085
  • Address: 1188 FAYETTEVILLE RD
    RAEFORD, NC
    ZIP 28376
  • Phone: (910) 565-2857

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NPI Details

ELITE GROUP SERVICES, INC. is a community behavioral health in Raeford, NC. The provider is 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. ELITE GROUP SERVICES, INC. NPI is 1508610767. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1188 FAYETTEVILLE RD
RAEFORD, NC
ZIP 28376-536
Phone: (910) 565-2857

The provider's authorized official is Harry Southerland .
The authorized official title is President and has the following contact phone number (910) 565-2857.

The CLIA number assigned to this NPI record is 34D2299085 - health main. organization with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/15/2024 and was last updated on 4/15/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0505XFamily MedicineAdult MedicineNo
2251B00000XCase ManagementNo
3251C00000XDay Training, Developmentally Disabled ServicesNo
4251E00000XHome HealthNo
5251F00000XHome InfusionNo
6251J00000XNursing CareNo
7251S00000XCommunity/Behavioral HealthYes
8253Z00000XIn Home Supportive CareNo
9320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
10322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenNo
11343900000XNon-emergency Medical Transport (VAN)No
123747P1801XTechnicianPersonal Care AttendantNo

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: 11/21/2025

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