# ELITE CARE SERVICE AT MIDDLE RD

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ELITE CARE SERVICE INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1144151275
- **Legal business name:** ELITE CARE SERVICE INC
- **Authorized official:** JAMES FREDERICK (CEO)
- **Authorized official phone:** (732) 674-5748

## Contact information

- **Practice address:** 711 MIDDLE RD, FAYETTEVILLE, NC 28312-5211
- **Practice address phone:** (732) 674-5748
- **Mailing address:** PO BOX 9525, FAYETTEVILLE, NC 28311-9088
- **Mailing address phone:** (732) 674-5748

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 05/27/2026
- **Last updated:** 06/02/2026