Healthcare Provider Details

I. General information

NPI: 1326969833
Provider Name (Legal Business Name): ELITE NEMT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 MARTHA CT
KERNERSVILLE NC
27284-9748
US

IV. Provider business mailing address

6315 BREWER AVE
CLEMMONS NC
27012-8175
US

V. Phone/Fax

Practice location:
  • Phone: 336-918-9968
  • Fax: 336-918-9968
Mailing address:
  • Phone: 336-918-9968
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MR. OUSSAMA FENIKH
Title or Position: OWNER
Credential:
Phone: 336-918-9968