Healthcare Provider Details

I. General information

NPI: 1295655504
Provider Name (Legal Business Name): ELITE LUX ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13084 SW 78TH CIR
OCALA FL
34473-4909
US

IV. Provider business mailing address

PO BOX 681286
ORLANDO FL
32868-1286
US

V. Phone/Fax

Practice location:
  • Phone: 321-888-7364
  • Fax: 877-781-5069
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. SHAKERA FREEMAN
Title or Position: PRESIDENT
Credential:
Phone: 321-888-7364