ELITE CARE (NPI# 1548710023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548710023 |
| Entity Type | Organization |
| Organization Name | ELITE CARE |
| Other Organization Name | ELITE CARE |
| Practice Address |
111 Lamon St Fayetteville NC 28301 |
| Mailing Address |
722 Sage St 722 Fayetteville NC 28312 |
| Practice Telephone | 9104830324 |
| Mailing Telephone | 9102610941 |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |
| Authorized Official Name | WILLIAM FERNANDORUS WILLIS (SUBSTAMCE ABUSE) |
| Authorized Official Telephone | 9102610941 |
| Authorized Official Credential | LCSA-A |
| Is Organization Subpart | Y |
| Parent Organization Name | ELITECARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | 251 | NC | Agencies |
| Other Name | Type Code |
|---|---|
| Elite Care | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ELITE CARE ADAMS - HOOD | 4483 Se Oatfield Hill Rd, Milwaukie, OR 97267 |
| Washington State Corporations | ELITE CARE AT ALGONA, LLC | 312 3rd Pl S, Algona, WA 98001-8575 |
| Oregon Corporations, Companies and Business Names | ELITE CARE EMPLOYEE GROUP, INC. | 4444 Se Oatfield Hill Rd, Milwaukie, OR 97267 |
| Oregon Corporations, Companies and Business Names | ELITE CARE GRANT LLC | 12353 Sw Grant Ave, Tigard, OR 97223 |
| System for Award Management (SAM) Entities | ELITE CARE HOME HEALTH, LLC | 5024 Alta Dr, Las Vegas, NV 89107-3927 |
| Connecticut Business Registrations | Elite Care Homemaker and Companion Services, LLC | 73 Michael Street, East Haven, CT 06513 |
| Iowa Business Entities | ELITE CARE INC. | 225 Sw Carriage Dr., Ankeny, IA 50023 |
| North Carolina Corporations | Elite Care Inc. | 132 West Main Street, Williamston, NC 27892 |
| Oregon Corporations, Companies and Business Names | ELITE CARE JEFFERSON - ASHLAND | 4422 Se Oatfield Hill Rd, Milwaukie, OR 97267 |
| Oregon Corporations, Companies and Business Names | ELITE CARE KNOLL SUMMIT, LLC | 2300 Sw 103rd Ave, Portland, OR 97225 |
| Street Address |
111 LAMON ST |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255321592 | Doris Ann Moore-russell | Social Worker | 111 Lamon St, Suite 212, Fayetteville, NC 28301-4957 | 2005-10-27 |
| 1912457060 | William Willis | Counselor | 111 Lamon St, Suite 103, Fayetteville, NC 28301-4901 | 2016-10-12 |
| 1003223066 | Chapmans Management Company | Psychiatric Residential Treatment Facility | 111 Lamon St, Fayetteville, NC 28301-4901 | 2014-07-22 |
| 1750716445 | Elite Care Service Inc | Community Based Residential Treatment Facility, Mental Illness | 111 Lamon St, 103, Fayetteville, NC 28301-4901 | 2013-09-12 |
| 1932534625 | Elite Care Service Inc. | Counselor | 111 Lamon St, 103, Fayetteville, NC 28301-4901 | 2013-09-12 |
| 1841625530 | Elite Care Service Inc. | Psychologist | 111 Lamon St, 103, Fayetteville, NC 28301-4901 | 2013-09-12 |
| 1508290420 | Elite Adolescent Care, Inc. | Counselor | 111 Lamon St, 103, Fayetteville, NC 28301-4901 | 2013-08-27 |
| 1073853313 | Drako Munn | Technician | 111 Lamon St, Suite 101, Fayetteville, NC 28301-4901 | 2013-02-24 |
| 1497041032 | J J Compassionate Home Care | Preferred Provider Organization | 111 Lamon St, Suite 207, Fayetteville, NC 28301-4901 | 2011-06-22 |
| 1265728869 | Central Carolina Home Healthcare | Home Health | 111 Lamon St, Suite 119, Fayetteville, NC 28301-4901 | 2011-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726219 | Jenna Michelle Odneal | Behavior Technician | 16915 Liverpool Pkwy. Suite B., Cornelius, NC 28301 | 2020-10-02 |
| 1790390094 | Jessica Shellman | Counselor | 408 Person St. Ste 103, Fayetteville, NC 28301 | 2020-09-14 |
| 1487205951 | Martha K Richardson | Technician | 720 Teachers Dr, Fayetteville, NC 28301 | 2019-09-25 |
| 1013568161 | Angela Rena Locklear | Counselor | 211 Lamon St, Fayeteville, NC 28301 | 2019-09-20 |
| 1619535747 | Teresa Wilson | Contractor | 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 | 2019-06-04 |
| 1912461815 | Catherine Stevenson Nwogalanya | Community Health Worker | 1103 Hillsboro St., Fayetteville, NC 28301 | 2019-01-24 |
| 1811443187 | Michael Carroll | Counselor | 308 Peterson Place, Fayetteville, NC 28301 | 2016-08-28 |
| 1023499886 | Latifa Fedai | Nurse Practitioner | 380 Person Street, Fayettevill, NC 28301 | 2015-06-17 |
| 1265868939 | Aci Support Specialists | Community/Behavioral Health | 1725 Venna Drive, Fayetteville, NC 28301 | 2013-09-25 |
| 1871929547 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 2820 Copenhagen Drive, Fayetteville, NC 28301 | 2013-09-25 |
| Find all providers in zip 28301 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499944 | Goal Digger Network LLC | Case Management | 5220 Delco St, Fayetteville, NC 28311-2332 | 2020-08-27 |
| 1437799178 | Brickhouse Management | Case Management | 2529 Raeford Rd Ste C-8, Fayetteville, NC 28305-5098 | 2020-01-10 |
| 1255828612 | Working Concepts Inc | Case Management | 110 Habersham Dr Ste 325, Fayetteville, GA 30214-1381 | 2018-04-20 |
| 1831569268 | Daybreak Case Management Services | Case Management | 110 Hunters Gln, Fayetteville, GA 30215-1914 | 2015-09-28 |
| 1073999538 | Aci Support Specialists, Inc. | Case Management | 257 Kenwood Dr, Fayetteville, NC 28311-0833 | 2015-08-07 |
| 1811323595 | Aci Support Specialists | Case Management | 1619 Winnabow Drive, Fayetteville, NC 28304 | 2013-09-25 |
| 1518393297 | Aci Support Specialists | Case Management | 2257 Spindletree Drive, Fayetteville, NC 28304 | 2013-09-25 |
| 1891121588 | Aci Support Specialists | Case Management | 2633 Gressitt Point Ln, Fayetteville, NC 28306-3555 | 2013-09-25 |
| 1568801355 | Aci Support Specialists, Inc. | Case Management | 342 Wagoner Dr, Suite 107, Fayetteville, NC 28303-4686 | 2013-06-14 |
| 1164787248 | Conceive Believe&achieve LLC | Case Management | 6380 Cliffdale Rd Unit 25032, Fayetteville, NC 28314-2970 | 2012-07-05 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28301 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.