MEDICARE: ELITE HEALTHCARE PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207X00000X	Orthopaedic Surgery Physician
2	225X00000X	Occupational Therapist
3	332B00000X	Durable Medical Equipment & Medical Supplies
4	207XS0106X	Orthopaedic Hand Surgery Physician

General Provider Information

NPI Number	:	1659040731
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELITE HEALTHCARE PLLC

Provider Business Mailing Address
First Line	:	6905 ROCHESTER RD.
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48085-1017
Country	:	US
Telephone Number	:	248-845-4705
Fax Number	:	269-727-0462

Provider Business Practice Location Address
First Line	:	6905 ROCHESTER RD.
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48085-1017
Country	:	US
Telephone Number	:	248-845-4705
Fax Number	:	269-727-0462

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JASON S SAMONA
Credential	:	D.O.
Telephone Number	:	248-939-6263

Provider Enumeration Date	:	09/10/2021
Last Update Date	:	01/12/2026

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Directions to “ELITE HEALTHCARE PLLC ” Practice Location

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