Healthcare Provider Details

I. General information

NPI: 1477944908
Provider Name (Legal Business Name): ELITE CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2015
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 MAGELLAN ST
COSTA MESA CA
92626-5838
US

IV. Provider business mailing address

1100 QUAIL ST STE 210
NEWPORT BEACH CA
92660-2700
US

V. Phone/Fax

Practice location:
  • Phone: 888-511-0607
  • Fax:
Mailing address:
  • Phone: 888-511-0607
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH MILLIGAN
Title or Position: CEO
Credential:
Phone: 310-384-5556