Healthcare Provider Details

I. General information

NPI: 1346153087
Provider Name (Legal Business Name): BURGESS ELITE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 LOWNDES HILL RD STE 300
GREENVILLE SC
29607-2154
US

IV. Provider business mailing address

777 LOWNDES HILL RD STE 300
GREENVILLE SC
29607-2154
US

V. Phone/Fax

Practice location:
  • Phone: 864-215-4526
  • Fax: 864-447-5158
Mailing address:
  • Phone: 864-215-4526
  • Fax: 864-447-5158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: STINESHA FERGUSON
Title or Position: ADMINISTRATOR
Credential:
Phone: 864-215-4526