ELITES CARE LLC (NPI# 1649700261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649700261 |
| Entity Type | Organization |
| Organization Name | ELITES CARE LLC |
| Practice Address |
6495 New Hampshire Ave Ste A303 Hyattsville MD 20783-3245 |
| Practice Telephone | 2408253153 |
| Mailing Telephone | 2408253153 |
| Mailing Fax Number | 2408253154 |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2018-10-15 |
| Authorized Official Name | AWONTI THIERRY ETOO NDJONGO (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2409886871 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10010 Greenspire Way, Bowie, MD 20721 | 2409886871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811463177 | Elites Care LLC | Chore Provider | 6495 New Hampshire Ave Ste A303, Hyattsville, MD 20783-3245 | 2018-10-15 |
| 1679069967 | Elites Care LLC | Chore Provider | 6495 New Hampshire Ave Ste A303, Hyattsville, MD 20783-3245 | 2018-07-10 |
| 1124514567 | Elites Care LLC | Clinic/Center | 6495 New Hampshire Ave Ste A303, Hyattsville, MD 20783-3245 | 2018-07-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | ELITES CARE LLC | 6911 Richmond Hwy, Ste 302, Alexandria, Virginia 22306 |
| Street Address |
6495 NEW HAMPSHIRE AVE STE A303 |
| City | HYATTSVILLE |
| State | MD |
| Zip Code | 20783-3245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811463177 | Elites Care LLC | Chore Provider | 6495 New Hampshire Ave Ste A303, Hyattsville, MD 20783-3245 | 2018-10-15 |
| 1679069967 | Elites Care LLC | Chore Provider | 6495 New Hampshire Ave Ste A303, Hyattsville, MD 20783-3245 | 2018-07-10 |
| 1124514567 | Elites Care LLC | Clinic/Center | 6495 New Hampshire Ave Ste A303, Hyattsville, MD 20783-3245 | 2018-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144862954 | Tera Duffer | Physician Assistant | 7506 Adelphi, Hyattsville, MD 20783 | 2019-10-14 |
| 1164999512 | Melorejuvenationsmeloweightloss LLC (dba) Best Pharmacy | Pharmacy | 6495 New Hampshire Av Suite # B130, Hyattsville, MD 20783 | 2018-10-24 |
| 1518446657 | Florentine Madeleine Domche - Pesok | Home Health Aide | 1836 Metzerott Rd Apt 1116, Adelphi, MD 20783 | 2018-08-09 |
| 1306365218 | Alain Samuel Kameni | Home Health Aide | 1906 Dana Dr., Hyattsville, MD 20783 | 2017-09-12 |
| 1871011486 | Justin Lee Blackwell | Counselor | 3501 University Blvd East, Adelphi, MD 20783 | 2017-09-04 |
| 1154843712 | Annmarie Cynthia Wallace | Home Health Aide | 836 Fairoak Ave, Hyattsville, MD 20783 | 2017-07-14 |
| 1063934677 | Dorine Adeline Kouanang Lapa Epse Laakak | Technician | 4043 Greenlawn Drive Apt 100, Hyattsville, MD 20783 | 2017-07-14 |
| 1861914798 | Danielle Marie Graham | Social Worker | 1800 Metzerott Rd, Apt 206, Adelphi, MD 20783 | 2017-07-12 |
| 1336684703 | Evelin Reyes | Home Health Aide | 2121 Ruatan St, Hyattsville, MD 20783 | 2016-12-21 |
| 1689121238 | Carole Nkwignia Nketcha | Home Health Aide | 1908 Erie St Apt 102, Hyattsville, MD 20783 | 2016-09-01 |
| Find all providers in zip 20783 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518422104 | The Help Foundation International | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 506 Jurgensen Pl, Hyattsville, MD 20785-4870 | 2019-02-07 |
| 1770734014 | Ici Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3450 Toledo Ter, # 209, Hyattsville, MD 20782-1397 | 2008-10-06 |
| 1306095617 | Chrysallis, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6495 New Hampshire Ave, Suite 303, Hyattsville, MD 20783-3245 | 2008-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659978 | Your Choices Support Services Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8480 Baltimore National Pike # 141, Ellicott City, MD 21043-3369 | 2020-11-02 |
| 1225638786 | Alternative Dda Home Care Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1777 Reisterstown Rd Ste 180, Baltimore, MD 21208-1313 | 2020-10-26 |
| 1487251195 | Shore Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8221 Teal Dr Ste 422, Easton, MD 21601-7212 | 2020-10-06 |
| 1750909875 | Richcroft Incorporated | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11350 Mccormick Rd Ste 700, Hunt Valley, MD 21031-1002 | 2020-07-07 |
| 1710501648 | Together We Stand Support Services Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3702 Evergreen Ave, Baltimore, MD 21206-3420 | 2020-06-06 |
| 1447870985 | Palmer's Care Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3410 Gateshead Manor Way Apt 201, Silver Spring, MD 20904-6114 | 2020-04-24 |
| 1477185338 | A.w. Holdings of Maryland, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 808 Klees Mill Rd, Westminster, MD 21157-8230 | 2020-02-10 |
| 1851930382 | Daylight Healthcare Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3812 Pikeswood Dr, Randallstown, MD 21133-2710 | 2020-01-01 |
| 1205479763 | Oasis Plus Social Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4446 Regalwood Ter, Burtonsville, MD 20866-2227 | 2019-10-28 |
| 1003459777 | Walter Obi | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4201 Brookside Oaks, Owings Mills, MD 21117-5168 | 2019-10-24 |
| Find all providers with the same taxonomy | ||||
| City | HYATTSVILLE |
| Zip Code | 20783 |
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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.