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General NPI Number Information
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NPI Number | 1538023858
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Entity Type | Organization
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Legal Business Name | ELITE HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 248 IRONWOOD DR
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-2286
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Country | US
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Telephone | 404-709-1913
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Fax |
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Provider Business Mailing Address
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Address Line | 248 IRONWOOD DR
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-2286
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Country | US
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Telephone | 404-709-1913
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MR. CHADWICK DEPORRIS WADE
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Credential | MBA, MHA
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Telephone | 404-709-1913
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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