MEDICARE: ELITE CARE MOBILITY GROUP LLC

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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1487583423
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELITE CARE MOBILITY GROUP LLC

Provider Business Mailing Address
First Line	:	10999 RIVERSIDE DR.
Second Line	:	SUITE #302
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91602-2239
Country	:	US
Telephone Number	:	323-321-7090
Fax Number	:

Provider Business Practice Location Address
First Line	:	10999 RIVERSIDE DR.
Second Line	:	SUITE #302
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91602-2239
Country	:	US
Telephone Number	:	818-200-0449
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MARTIN NARANJO ORDAZ
Credential	:
Telephone Number	:	323-321-7090

Provider Enumeration Date	:	05/15/2026
Last Update Date	:	05/15/2026

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