Provider Demographics
NPI:1629228366
Name:THE ELITE CARE CENTER
Entity Type:Organization
Organization Name:THE ELITE CARE CENTER
Other - Org Name:UNLIMITED WELLNESS INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:G
Authorized Official - Last Name:FLORENDO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:702-920-6556
Mailing Address - Street 1:6141 SOUTH RAINBOW BLVD
Mailing Address - Street 2:SUITE 115
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-3252
Mailing Address - Country:US
Mailing Address - Phone:702-920-6556
Mailing Address - Fax:702-920-6555
Practice Address - Street 1:6141 S RAINBOW BLVD
Practice Address - Street 2:SUITE 115
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-3261
Practice Address - Country:US
Practice Address - Phone:702-920-6556
Practice Address - Fax:702-920-6555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-30
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVBO1239111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty