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General NPI Number Information
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NPI Number | 1477944908
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Entity Type | Organization
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Legal Business Name | ELITE CARE, INC.
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Dates
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Enumeration Date | 02/05/2015
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 930 MAGELLAN ST
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City | COSTA MESA
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State | CA
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Zip | 92626-5838
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Country | US
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Telephone | 888-511-0607
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 QUAIL ST STE 210
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2700
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Country | US
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Telephone | 888-511-0607
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOSEPH MILLIGAN
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Credential |
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Telephone | 310-384-5556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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