ELITE PERSONAL CARE INC. (NPI# 1932503299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932503299 |
| Entity Type | Organization |
| Organization Name | ELITE PERSONAL CARE INC. |
| Other Organization Name | SOUTHERN HERITAGE |
| Practice Address |
814 Carl Vinson Pkwy Centerville GA 31028-1421 |
| Practice Telephone | 4789226380 |
| Mailing Telephone | 4789226380 |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2014-10-15 |
| Authorized Official Name | MRS. ANICA G HOLLAR (ADMINISTRATOR) |
| Authorized Official Telephone | 4789226380 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Southern Heritage | Doing Business As Name - Organization |
| Street Address |
814 CARL VINSON PKWY |
| City | CENTERVILLE |
| State | GA |
| Zip Code | 31028-1421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891278743 | Latonia Queen Howard | Nurse Practitioner | 804 Arbor Ln, Centerville, GA 31028 | 2018-09-06 |
| 1134493620 | Ashley L Jack | Physician Assistant | 655 Seventh Street, Bldg 700, Centerville, GA 31028 | 2012-02-29 |
| 1407815491 | Elizabeth Marie Soety | Clinical Neuropsychologist | 102 Gunn Rd, Centerville, GA 31028 | 2006-03-20 |
| 1013147743 | Neuropsychological Testing and Counseling | Clinical Neuropsychologist | 102 Gunn Rd, Centerville, GA 31028 | 2009-07-15 |
| 1982750766 | Denise Patrick Noel | Dentist | 618 N Houston Lake Blvd, Centerville, GA 31028-1010 | 2007-01-26 |
| 1093149874 | Janki Desai Patel | Dentist | 618 N Houston Lake Blvd, Centerville, GA 31028-1010 | 2013-08-28 |
| 1255640082 | Denise P Noel | Dentist | 618 N Houston Lake Blvd, Centerville, GA 31028-1010 | 2010-09-28 |
| 1518516228 | Emeli Eleyn Burlison | Dental Hygienist | 428 Sentry Oak Dr, Centerville, GA 31028-1200 | 2019-09-05 |
| 1083739346 | Antonia K Taylor | Optometrist | 2930 Watson Blvd, Centerville, GA 31028-1245 | 2007-03-19 |
| 1265506695 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 2930 Watson Blvd, Galleria Mall, Centerville, GA 31028-1245 | 2006-11-18 |
| Find all providers in zip 31028 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1396141784 | Matts Place | Clinic/Center | 190 South Main Street, Centerville, UT 84014-2814 | 2014-11-12 |
| 1396927596 | My Urban Clinic, Inc | Clinic/Center | 205 N Main St, Centerville, OH 45459-4617 | 2007-11-29 |
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| 1134741580 | Knowles Exams & More | Clinic/Center | 123 Glyndale Dr Ste 107, Brunswick, GA 31520-1404 | 2020-05-08 |
| 1558981985 | Elite Mens' Health, LLC | Clinic/Center | 3361 Nottinghill Ln, Valdosta, GA 31605-5874 | 2020-04-27 |
| 1447886320 | Momentum Rehab & Therapy | Clinic/Center | 5349 Snapfinger Woods Dr, Decatur, GA 30035-4028 | 2020-03-23 |
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| Find all providers with the same taxonomy | ||||
| City | CENTERVILLE |
| Zip Code | 31028 |
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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.