ELITE RESIDENTIAL, LLC – NPI #1760904338
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

ELITE RESIDENTIAL, LLC is a community based residential treatment facility located in MOBILE, AL. NPPES has assigned the NPI number 1760904338 to ELITE RESIDENTIAL, LLC on July 14, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ELITE RESIDENTIAL, LLC below.

NPI Profile for
ELITE RESIDENTIAL, LLC

NPI Number
1760904338
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ELITE RESIDENTIAL, LLC
Primary location
1554 BASIL STREET
MOBILE, AL 36603
Phone: (251) 652-3658 Fax: (251) 415-2055
Mailing address
1554 BASIL ST
MOBILE, AL 36603-5019
Phone: (251) 652-3658 Fax: (251) 415-2055
Organization Subpart
No
Authorized Official
ERICKA BETTON
EXECUTIVE DIRECTOR
Phone: (251) 367-8634
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.