NPI Code Detail JSON Logo

1851989420 NPI number — ELITE CARE PSA LLC

NPI Number: 1851989420
Health Care Provider/Practitioner: ELITE CARE PSA LLC

Information about “1851989420” NPI (ELITE CARE PSA LLC) exists in 1851989420 in HTML format HTML  |  1851989420 in plain Text format TXT  |  1851989420 in PDF (Portable Document Format) PDF  |  1851989420 in an XML format XML  formats.

NPI Number : 1851989420 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851989420",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ELITE CARE PSA LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "568 S WASHINGTON ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NAPERVILLE",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60540-6843",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "630-548-9500",
    "MailingAddressFaxNumber": "630-548-0541",
    "FirstLinePracticeLocationAddress": "250 W 80TH PL",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MERRILLVILLE",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46410-5430",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "219-648-2125",
    "PracticeLocationAddressFaxNumber": "219-472-8468",
    "EnumerationDate": "01/08/2021",
    "LastUpdateDate": "07/08/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MASTRANGELI",
    "AuthorizedOfficialFirstName": "JOHN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OFFICER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "630-505-3623",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "253Z00000X",
        "TaxonomyName": "In Home Supportive Care Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.