Provider Demographics
NPI:1851287130
Name:ELITE MANAGEMENT & TECHNOLOGIES INC
Entity type:Organization
Organization Name:ELITE MANAGEMENT & TECHNOLOGIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WALNO
Authorized Official - Middle Name:MIKE
Authorized Official - Last Name:DUPONT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-662-9485
Mailing Address - Street 1:1860 SW FOUNTAINVIEW BLVD # 1019
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34986-4535
Mailing Address - Country:US
Mailing Address - Phone:888-680-0941
Mailing Address - Fax:
Practice Address - Street 1:160 DAILEY ST SE
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32909-8916
Practice Address - Country:US
Practice Address - Phone:440-662-9485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-14
Last Update Date:2025-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities