Healthcare Provider Details

I. General information

NPI: 1962320275
Provider Name (Legal Business Name): R AND R ELITE ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

120 S ELM ST
WILLIAMSTON NC
27892-2304
US

IV. Provider business mailing address

213 WOODARD RD
WINDSOR NC
27983-8943
US

V. Phone/Fax

Practice location:
  • Phone: 252-902-4485
  • Fax: 252-902-4485
Mailing address:
  • Phone: 252-902-4485
  • Fax: 252-902-4485

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: REGINA PEELE
Title or Position: MANAGER/OWNER
Credential: BSQP
Phone: 252-902-4485