ELITE CARE SERVICE INC. (NPI# 1841625530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841625530 |
| Entity Type | Organization |
| Organization Name | ELITE CARE SERVICE INC. |
| Practice Address |
111 Lamon St 103 Fayetteville NC 28301-4901 |
| Mailing Address |
Po Box 9525 Fayetteville NC 28311-9088 |
| Practice Telephone | 9104830324 |
| Practice Fax Number | 9104832246 |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2013-09-12 |
| Authorized Official Name | MR. BARSHEEM CHAPMAN (CEO) |
| Authorized Official Telephone | 9104830324 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5915090 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669789350 | Elite Care Service Inc. | Counselor | 707 Murchison Road, Fayetteville, NC 28301-7012 | 2010-09-02 |
| 1831406529 | Elite Care Service Inc. | Counselor | 111 Lamon St Ste 103, Fayetteville, NC 28301-4917 | 2010-09-02 |
| 1932534625 | Elite Care Service Inc. | Counselor | 111 Lamon St, 103, Fayetteville, NC 28301-4901 | 2013-09-12 |
| 1740615434 | Elite Care Service Inc. | Psychologist | 111 Lamon St Ste 103, Fayetteville, NC 28301-4917 | 2013-09-12 |
| 1417135500 | Elite Care Service Inc. | Community Based Residential Treatment Facility, Mental Illness | 111 Lamon St, Fayetteville, NC 28301-4901 | 2008-01-31 |
| Street Address |
111 LAMON ST 103 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28301-4901 |
| 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 |
| 1548710023 | Elite Care | Case Management | 111 Lamon St, Fayetteville, NC 28301 | 2016-10-10 |
| 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 |
| 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 | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
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|---|---|---|---|---|
| 1114253556 | Learning Links Educational Network Services Center | Psychologist | 5780 Ramsey Street, Fayetteville, NC 28311-3416 | 2009-10-20 |
| 1871797415 | Martin Weinrauch P.a. | Psychologist | 2850 Village Dr Ste 104, Fayetteville, NC 28304-3864 | 2007-06-14 |
| 1700291663 | Chapmans Management Company | Psychologist | 918 Hope Mills Rd, Fayetteville, NC 28304-4243 | 2014-06-30 |
| 1558615237 | Access Family Servides, Inc. | Psychologist | 2018 Fort Bragg Rd, Fayetteville, NC 28303-7037 | 2012-11-02 |
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| 1811255037 | Cb Recovery Services, LLC | Psychologist | 21 Anna Drive, Suite 105 and 106, Clayton, NC 27520-2181 | 2012-04-25 |
| 1689974982 | Carolina's Creative Counseling, Pa | Psychologist | 520 Mulberry Street, Lenoir, NC 28645-5725 | 2010-11-02 |
| 1518282201 | Alpha Community Support Service LLC | Psychologist | 114 S Hancock St, Rockingham, NC 28379-3630 | 2010-04-06 |
| 1093727893 | Genesishouse, Inc. | Psychologist | 549 Cox Rd, Suite A, Gastonia, NC 28054-0628 | 2006-08-12 |
| 1619231776 | Max Psychiatry PC | Psychologist | 6402 Mccrimmon Pkwy, Suite - 200, Morrisville, NC 27560-8138 | 2012-07-03 |
| 1063784304 | Champion & Champion Pa Inc | Psychologist | 2609 N Duke St, 602, Durham, NC 27704-3048 | 2012-02-02 |
| 1275821597 | Therapeutic Intervention Group, LLC | Psychologist | 1100 S Mint St, Suite 108, Charlotte, NC 28203-4049 | 2011-07-20 |
| 1164721072 | Superior Healthcare Services, Inc. | Psychologist | 6636 E Wt Harris Blvd, Suite D - E, Charlotte, NC 28215-5133 | 2011-03-17 |
| 1700018843 | Brian K Long Md, Pllc | Psychologist | 211 S Center St, Suite 217a, Statesville, NC 28677-5873 | 2009-08-21 |
| 1154552040 | Brian K Long Md, Pllc | Psychologist | 211 S Center St, Suite 217-a, Statesville, NC 28677-5873 | 2009-07-27 |
| Find all providers with the same taxonomy | ||||
| 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.