Healthcare Provider Details
I. General information
NPI: 1497535264
Provider Name (Legal Business Name): ELITE HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/29/2023
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2049 SILAS DEANE HWY STE 209
ROCKY HILL CT
06067-2367
US
IV. Provider business mailing address
197 MEADOW ST
NEWINGTON CT
06111-5435
US
V. Phone/Fax
- Phone: 860-515-8689
- Fax: 860-516-4467
- Phone: 860-515-8689
- Fax: 860-516-4467
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SINDHIA
SHYRAS
Title or Position: APRN
Credential:
Phone: 860-984-2963