Provider Demographics
NPI:1912891284
Name:MCELVEEN, TAMEKA LASHAUN (RN)
Entity type:Individual
Prefix:MS
First Name:TAMEKA
Middle Name:LASHAUN
Last Name:MCELVEEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 W HAMPTON ST
Mailing Address - Street 2:
Mailing Address - City:OLANTA
Mailing Address - State:SC
Mailing Address - Zip Code:29114-9378
Mailing Address - Country:US
Mailing Address - Phone:843-373-3720
Mailing Address - Fax:843-373-3720
Practice Address - Street 1:204 W WILLOW GROVE RD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:SC
Practice Address - Zip Code:29080-8526
Practice Address - Country:US
Practice Address - Phone:843-373-3720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCIHCP-2418251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health