Healthcare Provider Details

I. General information

NPI: 1992649172
Provider Name (Legal Business Name): ELITE DEVELOPMENTAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1629 K ST NW STE 300
WASHINGTON DC
20006-1631
US

IV. Provider business mailing address

3332 CHAUNCEY PL
MOUNT RAINIER MD
20712-1032
US

V. Phone/Fax

Practice location:
  • Phone: 240-510-8678
  • Fax:
Mailing address:
  • Phone: 240-510-8678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: CONSTANCE BARTU
Title or Position: CEO
Credential: PHD
Phone: 240-510-8678