Provider Demographics
NPI:1568978195
Name:ELITE CARE INC.
Entity Type:Organization
Organization Name:ELITE CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:BA SCIENCE HS
Authorized Official - Phone:515-288-0621
Mailing Address - Street 1:1422 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50314-1853
Mailing Address - Country:US
Mailing Address - Phone:515-288-0621
Mailing Address - Fax:
Practice Address - Street 1:225 SW CARRIAGE DR
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-9087
Practice Address - Country:US
Practice Address - Phone:515-357-2964
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-19
Last Update Date:2017-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty