Provider Demographics
NPI:1225837040
Name:ELITE FAMILY HEALTHCARE
Entity type:Organization
Organization Name:ELITE FAMILY HEALTHCARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER, ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TENEAL
Authorized Official - Middle Name:VAUGHAN
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:252-209-1450
Mailing Address - Street 1:317 BONNER BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:AULANDER
Mailing Address - State:NC
Mailing Address - Zip Code:27805-9227
Mailing Address - Country:US
Mailing Address - Phone:252-209-1450
Mailing Address - Fax:
Practice Address - Street 1:101 MAPLE ST S STE A
Practice Address - Street 2:
Practice Address - City:AHOSKIE
Practice Address - State:NC
Practice Address - Zip Code:27910-3452
Practice Address - Country:US
Practice Address - Phone:252-209-1450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-12
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health