# ELITE CARE HEALTH GROUP

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

## Provider details

- **NPI number:** 1912884321
- **Authorized official:** MRS. MISTY R STEVENSON RN (CEO)
- **Authorized official phone:** (228) 323-7695

## Contact information

- **Practice address:** 839B 28TH ST, GULFPORT, MS 39501-5413
- **Practice address phone:** (228) 596-5911
- **Mailing address:** 839B 28TH ST, GULFPORT, MS 39501-5413
- **Mailing address phone:** (228) 596-5911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | Yes |
| 163WH0200X | Home Health Registered Nurse | — | — | Yes |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 08/18/2025
- **Last updated:** 08/18/2025