# ELITE CARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457199739
- **Authorized official:** NADJEDA MARTINEZ RN, BSN (OWNER/MANAGER)
- **Authorized official phone:** (757) 270-9328

## Contact information

- **Practice address:** 1348 GREAT SHOALS CIR, LAWRENCEVILLE, GA 30045
- **Practice address phone:** (757) 270-9328
- **Mailing address:** 1348 GREAT SHOALS CIR, LAWRENCEVILLE, GA 30045
- **Mailing address phone:** (757) 270-9328

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | NULL | Yes |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | — | Yes |
| 164W00000X | Licensed Practical Nurse | — | NULL | — |
| 164W00000X | Licensed Practical Nurse | — | — | — |
| 372600000X | Adult Companion | — | NULL | — |
| 372600000X | Adult Companion | — | — | — |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |

## Other

- **Enumeration date:** 07/19/2024
- **Last updated:** 07/19/2024