MEDICARE: ELITE COMPANION CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	HC2243	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093849002
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELITE COMPANION CARE

Provider Business Mailing Address
First Line	:	PO BOX 263
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27261-0263
Country	:	US
Telephone Number	:	336-431-2174
Fax Number	:	336-431-2175

Provider Business Practice Location Address
First Line	:	10547 N MAIN ST
Second Line	:	SUITE E
City	:	ARCHDALE
State	:	NC
Zip	:	27263-2883
Country	:	US
Telephone Number	:	336-431-2174
Fax Number	:	336-431-2174

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MISS TORI M DUMAS
Credential	:
Telephone Number	:	336-431-2174

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	09/13/2007

Similar Medicare Providers

1902886823 — MS. CYNTHIA DEE EDWARDS LCSW
Practice Location Address:

10547 N MAIN ST , SUITE A
ARCHDALE, NC
27263-2883

Practice Phone: 336-431-1888
Practice Fax: 336-431-2217

1689622524 — MS. SUZANNE ELAINE RAMSEY LPA
Practice Location Address:

10547 N MAIN ST , POB 4776
ARCHDALE, NC
27263-2883

Practice Phone: 336-431-1888
Practice Fax: 336-431-2217

1902803323 — CATHY A FULP O.D.
Practice Location Address:

10564 N MAIN ST , STE E
ARCHDALE, NC
27263-2472

Practice Phone: 336-434-4033
Practice Fax: 336-434-4035

1437159118 — BOBBY D WITTEN M.D.
Practice Location Address:

10188 N MAIN ST
ARCHDALE, NC
27263-2906

Practice Phone: 336-802-2070
Practice Fax: 336-802-2071

1790772853 — CYNTHIA B WESSINGER LCSW
Practice Location Address:

10547 N MAIN ST
ARCHDALE, NC
27263-2884

Practice Phone: 336-431-1888
Practice Fax: 336-431-2217

1548240997 — HUBERT L FIERY MD
Practice Location Address:

9936 US HIGHWAY 311
ARCHDALE, NC
27263-8826

Practice Phone: 336-861-0640
Practice Fax: 336-861-0641

Directions to “ELITE COMPANION CARE ” Practice Location

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